Individual
MARK W SARAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,AT/L
Contact information
Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(860) 633-5572
Mailing address
223 116TH AVE NE, LAKE STEVENS, WA 98258-8628
(317) 213-8532
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160301117
WA
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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