Victoria Jade Olechowski, LAT, ATC
Individual provider Active NPI Athletic Trainer · Georgetown, MA
NPI 1609394485 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1609394485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 3372 (MA)
- Practice address
- 11 Winter St
Georgetown, MA 01833-2029 - Phone
- (978) 352-5790
- NPI assigned
- Aug 31, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3372 | MA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 3372 | MA | Yes |
Addresses
Primary practice location
11 Winter St
Georgetown, MA 01833-2029
Mailing address
117 Thoreau Way Apt 521
Lawrence, MA 01843-3907
Phone (586) 662-1973
Other providers in Georgetown, MA
- George Njoroge
- North Shore Psychiatry Services
- North Shore Psychodiagnostics
- Northeast Clinical Associates
- Erin Michelle O'Leary
- Alfred Palmerino Sr.
- Bhumika Patel
- Rajatkumar Patel
- Courtney Pelletier
- Kristen Giannetti Penta
All providers in Georgetown, MA · Athletic Trainer in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.