Individual
SAMANTHA MCGANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 PARK AVE, BRIDGEPORT, CT 06604-1047
(203) 365-4475
Mailing address
74 RALEIGH RD, BRIDGEPORT, CT 06606-1037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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