Individual
LAUREN HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12 MAIN ST STE 7, ELLINGTON, CT 06029-3361
(860) 872-7500
Mailing address
178 NEW STATE RD APT 7, MANCHESTER, CT 06042-7941
(860) 638-9700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001243
CT
Other
Enumeration date
10/15/2019
Last updated
06/08/2020
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