Individual
JANEEN ANN BEETLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT; ATC
Contact information
Practice address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 823-6221
Mailing address
12 SABRINAS CT, NORWICH, CT 06360-1678
(860) 912-7802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000263
CT
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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