Individual
DANIEL PALEVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
5151 PARK AVE, FAIRFIELD, CT 06825-1090
(203) 396-8109
Mailing address
5151 PARK AVE, FAIRFIELD, CT 06825-1090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000511
CT
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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