Individual
MR. STEVEN MARK CANNATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, LAT
Contact information
Practice address
170 KINGSWOOD RD, WEST HARTFORD, CT 06119-1430
(860) 233-3500
(860) 232-2095
Mailing address
29 RIVENDELL RD, MARLBOROUGH, CT 06447-1260
(860) 228-0210
(860) 232-2095
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000065
CT
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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