Individual
SHELLY WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 ANDERSON WAY, EAST HAMPTON, CT 06424-2105
(860) 267-1243
(860) 267-1253
Mailing address
7 ANDERSON WAY, EAST HAMPTON, CT 06424-2105
(860) 267-1243
(860) 267-1253
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000041
CT
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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