Individual
SHAY ELIZABETH VENTRESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, NREMT
Contact information
Practice address
40 DIBIASI DR, NEW LONDON, CT 06320
(860) 460-8093
Mailing address
36 DAMATO DR, OAKDALE, CT 06370-1694
(860) 460-8093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1929
CT
Other
Enumeration date
10/07/2024
Last updated
07/02/2025
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