# EMILY BUZZANCA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1538611843
- **Gender:** F
- **Credential:** ATC, LAT, EMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | 001145 | CT | Yes |
| 2255A2300X | Athletic Trainer | 1145 | CT | — |

## Other

- **Enumeration date:** 11/03/2016
- **Last updated:** 02/17/2020