Individual
DAN TRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
KENT SCHOOL 1 MACEDONIA RD., KENT, CT 06757
(860) 927-6042
Mailing address
PO BOX 48, NORTH EASTHAM, MA 02651-0048
(860) 927-6042
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000083
CT
2255A2300X
Athletic Trainer
1378
MA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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