Individual
ASHLEY JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 INDUSTRIAL PARK RD, NIANTIC, CT 06357-0635
(860) 391-9397
Mailing address
51 CHURCH ST APT 4, MYSTIC, CT 06355-2745
(860) 391-9397
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001204
CT
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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