Individual
DIANA T CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 RICHMOND CRES, WINDSOR, CT 06095-3849
(860) 869-1135
Mailing address
21 RICHMOND CRES, WINDSOR, CT 06095-3849
(860) 869-1135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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