Individual
KAYLA FAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
18 HIGH ST, WATERTOWN, CT 06795-2725
(860) 483-0622
Mailing address
18 HIGH ST, WATERTOWN, CT 06795-2725
(860) 483-0622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
54.001857
CT
Other
Enumeration date
10/04/2022
Last updated
08/06/2024
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