Individual
MRS. MEGAN BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
200 BLOOMFIELD AVE, WEST HARTFORD, CT 06117-1545
(860) 768-5048
Mailing address
200 BLOOMFIELD AVE, WEST HARTFORD, CT 06117-1545
(860) 768-5048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000597
CT
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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