Individual
ANTHONY SALVATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
20 BRIDLEWOOD LN, VERNON, CT 06066-4558
(603) 505-2014
Mailing address
20 BRIDLEWOOD LN, VERNON, CT 06066-4558
(603) 505-2014
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000683
CT
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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