Peter Cosmo Engley

NPI #1952942237 in West Tisbury, Massachusetts

Provider Information

NPI Number: 1952942237
Entity Type: Individual
Name: Peter Cosmo Engley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 8, 2019
Last Updated: Oct 8, 2019

Practice Location

Address: 26 PINE LANE
City: West Tisbury
State: Massachusetts
ZIP Code: 02575-0257
Phone: (508) 693-7028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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