Individual
DENNIS CHRISTOPHER RICHETELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
24 DANBURY RD, WILTON, CT 06897-4424
(203) 563-0610
Mailing address
52 HOUSATONIC AVE, MILFORD, CT 06460-3416
(203) 878-5336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000360
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000360
STATE LICENSURE
CT
Enumeration date
03/26/2007
Last updated
07/08/2007
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