Individual
MISS RILEY E BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LA ROSA LN, MIDDLETOWN, CT 06457-2148
(860) 704-4500
Mailing address
116 HARBOR PKWY, CLINTON, CT 06413-2609
(203) 908-8322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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