Individual
PAULA DOMBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 DOG LN # B, STORRS MANSFIELD, CT 06268-2206
(860) 429-0899
Mailing address
299 BUCKLAND HILLS DR APT 19321, MANCHESTER, CT 06042-8729
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218
LICENSE#
CT
Enumeration date
08/17/2007
Last updated
08/17/2007
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