Individual
JOSEPH GASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 SCHOOL ST, PROCTOR, VT 05765-1044
(908) 420-1061
Mailing address
40 SCHOOL ST, PROCTOR, VT 05765-1044
(908) 420-1061
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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