Individual
CARIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 ROYCE CIR, SUITE 104, STORRS, CT 06268-2260
(860) 487-9252
Mailing address
1 ROYCE CIR, SUITE 104, STORRS, CT 06268-2260
(860) 487-9200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000933
CT
Other
Enumeration date
01/06/2016
Last updated
05/25/2016
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