Individual
MS. KAREN E MARROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
54 W AVON RD, SUITE 202, AVON, CT 06001-3680
(860) 675-0357
(860) 675-0358
Mailing address
54 W AVON RD, SUITE 202, AVON, CT 06001-3680
(860) 675-0357
(860) 675-0358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000166
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000166
STATE CT LICENSE
CT
Enumeration date
03/14/2006
Last updated
10/17/2007
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