Individual
MADISON ELIZABETH WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 N MAIN STREET EXT, WALLINGFORD, CT 06492-2449
(203) 793-7592
Mailing address
21 HARRISON RD, WALLINGFORD, CT 06492-4942
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1862
CT
Other
Enumeration date
01/20/2023
Last updated
07/09/2025
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