Individual provider · NPI-1

Steven Laraia, LAT, ATC, CSCS, EMT

Specialist/Technologist, Athletic Trainer · Brockton, MA

NPI number1770001307
StatusActive
Last updated in NPPESSep 4, 2017

Details

NPI
1770001307
Entity type
Individual (NPI-1)
Name
Steven Laraia
Credential
LAT, ATC, CSCS, EMT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 4, 2017
Last updated
Sep 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2702MAYes

Practice location

680 Centre Street
Brockton, MA 02302

Phone 508-941-7000

Mailing address

26 Langley Road
Brighton, MA 02135

Phone 774-766-8418

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