Individual
ROBERT DOUGLAS FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
13 PAULINE AVE, WEST HAVEN, CT 06516-6928
(203) 745-6646
Mailing address
13 PAULINE AVE, WEST HAVEN, CT 06516-6928
(203) 745-6646
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1251
CT
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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