Individual
AMANDA ELIZABETH JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
395 DANBURY RD, WILTON, CT 06897-2006
(203) 762-0381
Mailing address
15 LYNLEE LN, WILTON, CT 06897-1103
(203) 644-2429
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000911
CT
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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