Individual
REBECCA ANN MELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA.ATC,LAT
Contact information
Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1908
(203) 582-3723
Mailing address
3 GLEN HOLLOW LN, WEST SIMSBURY, CT 06092-2609
(860) 944-3003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000085
CT
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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