Individual
MR. JASON CHRISTOPHER BOUTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS A.T.,C,
Contact information
Practice address
1450 NEWFIELD AVE, STAMFORD, CT 06905-1501
(203) 667-0387
Mailing address
53 MAGNOLIA AVE, NORWALK, CT 06850-3634
(203) 322-3496
(203) 329-0291
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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