Individual
ALYCIA LYNN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 PARK AVE, FAIRFIELD, CT 06825-1090
(203) 371-7999
Mailing address
97 N VILLAGE RD, LOUDON, NH 03307-0906
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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