Organization
NATIONAL ATHLETIC HEALTH CARE ALLIANCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA VENTRICELLI (ADMINISTRATOR)
(928) 636-9053
Entity
Organization
Contact information
Practice address
410 MOREHOUSE RD, EASTON, CT 06612-1638
(928) 636-9053
Mailing address
3955 W RAVENGUARD RD, PAULDEN, AZ 86334-4312
(928) 636-9053
(928) 636-2270
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1729
CT
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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