Individual
ANNE MARIE MILLOVITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
267 SLATER AVE, GRISWOLD, CT 06351-2533
(860) 376-7600
Mailing address
81 JAMES RD, VOLUNTOWN, CT 06384-2010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000253
CT
2255A2300X
Athletic Trainer
00350
RI
2255A2300X
Athletic Trainer
2575
MA
Other
Enumeration date
07/28/2017
Last updated
03/17/2018
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