Individual
CARRIE GAYDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, L
Contact information
Practice address
58 MEADOWVIEW CT, NEWINGTON, CT 06111-4643
(860) 666-8019
Mailing address
58 MEADOWVIEW CT, NEWINGTON, CT 06111-4643
(860) 666-8019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059402395
ATHLETIC TRAINER
CT
Enumeration date
05/16/2019
Last updated
05/16/2019
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