Individual
MRS. JULIE DUTTON X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
586 MIDDLE TPKE E, MANCHESTER, CT 06040-3730
(860) 645-3810
Mailing address
11 CINDY DR, COVENTRY, CT 06238-3469
(860) 742-4428
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000634
CT
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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