Individual
MISS KELLY ELIZABETH COPPERTHITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
70 TOWER PARKWAY, YALE UNIVERSITY, ATHLETICS, NEW HAVEN, CT 06520
(203) 432-2467
Mailing address
30 SAWMILL RD, BRANFORD, CT 06405-3326
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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