Individual
EMILY S DORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
165 SOUTH ST UNIT 60, VERNON, CT 06066-4418
(603) 557-4163
(214) 416-0186
Mailing address
165 SOUTH ST UNIT 60, VERNON, CT 06066-4418
(603) 557-4163
(214) 416-0186
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
110202188
CT
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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