Individual
CHRISTOPHER CARRIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/L, CSCS
Contact information
Practice address
255 N MAIN ST, BRISTOL, CT 06010-4972
(860) 589-1881
Mailing address
126 HOOVER AVE, BRISTOL, CT 06010-3723
(860) 209-5408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000352
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000352
STATE LICENSE #
CT
Enumeration date
11/04/2016
Last updated
11/04/2016
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