Individual
MR. JONATHAN RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 GREYSTONE DR, PLANTSVILLE, CT 06479-1850
(860) 681-2706
Mailing address
150 GREYSTONE DR, PLANTSVILLE, CT 06479-1850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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