Individual
ASHLEIGH C GAUVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC/L
Contact information
Practice address
151 COURTLAND AVE, #5A, STAMFORD, CT 06902-3494
(860) 869-3933
Mailing address
151 COURTLAND AVE, #5A, STAMFORD, CT 06902-3494
(860) 869-3933
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000523
CT
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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