Individual
MRS. JENNIFER TIRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
10 MAIN ST, CHESHIRE, CT 06410-2403
(860) 712-0052
Mailing address
136 DOWD ST, NEWINGTON, CT 06111-2609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/25/2006
Last updated
04/08/2008
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