Individual
TAYLOR BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, EMT
Contact information
Practice address
490 WESTPORT AVE, NORWALK, CT 06851-4424
(203) 614-9635
Mailing address
490 WESTPORT AVE, NORWALK, CT 06851-4424
(203) 614-9635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000025287
CT
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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