Individual
KEENAN THOMAS LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
80 SHUNPIKE RD UNIT 202, CROMWELL, CT 06416-4402
(860) 632-1792
(860) 632-1802
Mailing address
7 SAGAMORE LN UNIT 204, ROCKY HILL, CT 06067-3842
(860) 729-4174
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000640
CT
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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