Individual
MARY BETH DELLA VOLPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HAZARD AVE, ENFIELD, CT 06082-5446
(860) 696-2690
Mailing address
15 WYNWOOD DR, ENFIELD, CT 06082-6166
(860) 573-0565
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1059
CT
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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