Individual
CASANDRA MARIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BATCHELDER RD, WINDSOR, CT 06095-3028
(860) 687-6171
Mailing address
481 OLD STAFFORD RD, TOLLAND, CT 06084-2229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1792
CT
Other
Enumeration date
11/19/2021
Last updated
09/07/2023
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