Individual
JULIA ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 EVERGREEN DR, TOLLAND, CT 06084-3117
(860) 933-5446
Mailing address
54 EVERGREEN DR, TOLLAND, CT 06084-3117
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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