Individual
BONNIE L LONGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,EMT,CSCS
Contact information
Practice address
2119 POST RD, FAIRFIELD, CT 06824-5657
(203) 259-7177
(203) 256-9217
Mailing address
2119 POST RD, FAIRFIELD, CT 06824-5657
(203) 259-7177
(203) 256-9217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
05/20/2008
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