Individual
AVRIE BASSINGTHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2095 HILLSIDE RD, STORRS, CT 06269-2601
(860) 486-5322
Mailing address
2095 HILLSIDE RD, STORRS, CT 06269-1110
(860) 486-5322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/29/2023
Last updated
05/15/2024
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