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Contact Information

DANIEL R TETREAULT, M.ED. A.T.C. L.A.T.C
70 HANSON ROAD
CHARLTON, MA01507
 Phone: 774-364-0083
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for DANIEL R TETREAULT · (Male)

NPI Number 1063710762
Status Active
Credentials M.ED. A.T.C. L.A.T.C
Entity Individual
Enumeration date 03/03/2011
Last updated 03/03/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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