Individual
MEGHAN E. KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
UNIVERSITY OF BRIDGEPORT, 120 WALDEMERE AVENUE, BRIDGEPORT, CT 06604
(203) 576-4936
Mailing address
711 SAVIN AVENUE, APT. 3B, WEST HAVEN, CT 06516
(203) 576-4936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
03411815
CT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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