Individual
MR. ANTHONY JOHN CANNAVO JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
250 TORRINGFORD ST, WINSTED, CT 06098-2084
(860) 689-3782
Mailing address
250 TORRINGFORD ST, WINSTED, CT 06098-2084
(860) 689-3782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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