Individual
KEVIN AGOSTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
10 MAIN ST, CHESHIRE, CT 06410-2403
(413) 884-2684
Mailing address
10 MAIN ST, CHESHIRE, CT 06410-2403
(413) 884-2684
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
03534308
CT
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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