Individual
KARL KOCHERSPERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 SHERWOOD FARM RD, FAIRFIELD, CT 06824-2979
(203) 998-1562
Mailing address
146 SHERWOOD FARM RD, FAIRFIELD, CT 06824-2979
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
079474804
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
079474804
CT
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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