Individual
SOPHIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SAINT JOHN ST UNIT D4, NORTH HAVEN, CT 06473-2347
(203) 980-3000
Mailing address
11 SAINT JOHN ST UNIT D4, NORTH HAVEN, CT 06473-2347
(203) 980-3000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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