Individual
MR. WILLIAM PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1252 KING ST, GREENWICH, CT 06831-2938
(860) 912-3450
Mailing address
40 CROSS RD, WATERFORD, CT 06385-1608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001071
CT
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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