Individual
JEREMY NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L, AT
Contact information
Practice address
1 MOHEGAN SUN BLVD, UNCASVILLE, CT 06382-1355
(860) 862-4070
Mailing address
32 BEACON HILL DR, WATERFORD, CT 06385-4110
(860) 961-7280
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000107
CT
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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