Individual
LARRY HECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1241 E MAIN ST, STAMFORD, CT 06902-3520
(203) 918-4161
Mailing address
1241 E MAIN ST, STAMFORD, CT 06902-3520
(203) 918-4161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT2859
NC
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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