Individual
MR. WILLIAM JAMES COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PTA, CSCS, EMT
Contact information
Practice address
199 WHITNEY AVE, NEW HAVEN, CT 06511-3786
(203) 789-8873
Mailing address
60 HAWLEY AVE, UNIT # 3, MILFORD, CT 06460-8116
(203) 283-1085
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
000022
CT
225200000X
Physical Therapy Assistant
Primary
000996
CT
2255A2300X
Athletic Trainer
000390
CT
Other
Enumeration date
11/17/2006
Last updated
04/12/2008
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