Individual
SARA CARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
44 GREENDALE DR, SUFFIELD, CT 06078-1994
(860) 463-7268
Mailing address
44 GREENDALE DR, SUFFIELD, CT 06078-1994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
516
CT
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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