Individual
ERICA THOMPSON BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
13B DOG LN, STORRS MANSFIELD, CT 06268-2206
(860) 429-0899
(860) 429-0898
Mailing address
527 WEST THAMES STREET, UNIT 56, NORWICH, CT 06360
(571) 225-1411
(860) 429-0898
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000144
CT
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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