Individual
KRISTINA LEIGH FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
700 PROSPECT ST, NEW HAVEN, CT 06511-1224
(203) 773-4472
Mailing address
442 FARMINGTON AVE, WATERBURY, CT 06710-1228
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1346
CT
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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