Individual
GAIL SAMDPERIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
398 SOUND BEACH AVE, OLD GREENWICH, CT 06870-2222
(203) 698-8869
Mailing address
398 SOUND BEACH AVE, OLD GREENWICH, CT 06870-2222
(203) 698-8869
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000230
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010585
AT BOC
CT
Enumeration date
06/19/2019
Last updated
06/19/2019
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