Individual
MS. LISA PATRICIA HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC-L, LMT
Contact information
Practice address
20 ISHAM RD, WEST HARTFORD, CT 06107-2204
(860) 761-1083
Mailing address
117 SHADOW LN, WEST HARTFORD, CT 06110-1668
(860) 874-3501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000167
CT
Other
Enumeration date
06/10/2007
Last updated
07/08/2007
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