Individual
MEGAN NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
893 MAIN ST STE 302, EAST HARTFORD, CT 06108-2293
(860) 289-6021
Mailing address
162 HOMESTEAD ST APT J, MANCHESTER, CT 06042-3058
(508) 409-8611
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1400
CT
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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