Individual
MEREDYTH JOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
18 ROSS HILL ROAD EXT, LISBON, CT 06351-2920
(860) 334-2310
Mailing address
18 ROSS HILL ROAD EXT, LISBON, CT 06351-2920
(860) 334-2310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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