Individual
MR. JARED F MATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
2928 MAIN ST, EASTERN REHABILITATION NETWORK, GLASTONBURY, CT 06033-1007
(860) 657-4723
Mailing address
108 MCKEE ST APT K, MANCHESTER, CT 06040-4859
(860) 432-3581
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000088
CT
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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