Individual
TAYLOR ELIZABETH PEARSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
465 WOLCOTT RD, WOLCOTT, CT 06716-2613
(203) 879-0107
Mailing address
465 WOLCOTT RD, WOLCOTT, CT 06716-2613
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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