MAXIMILIAN MITA

WORCESTER, MA
NPI1821546144
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MA  2903)
Enumeration Date2016-09-15
Last Update Date2016-09-15
Business Address
MAXIMILIAN MITA ATC
1 COLLEGE ST
WORCESTER, MA 01610-2322
Phone number: 508-468-7612
Mailing Address
MAXIMILIAN MITA ATC
1 COLLEGE ST
WORCESTER, MA 01610-2322
Phone number: 508-468-7612
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