Provider Demographics
NPI:1205364247
Name:GAY, EMMA MARIE (MS, ATC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:MARIE
Last Name:GAY
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053-1325
Mailing Address - Country:US
Mailing Address - Phone:774-277-2308
Mailing Address - Fax:
Practice Address - Street 1:285 BABCOCK STREET
Practice Address - Street 2:CASE CENTER ATHLETIC TRAINING CLINIC
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-1003
Practice Address - Country:US
Practice Address - Phone:617-353-2746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer