Individual
STEPHANIE MAZEROLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
2095 HILLSIDE RD, UNIT 1110 DEPARTMENT OF KINESIOLOGY, STORRS, CT 06269-1110
(860) 486-4536
(860) 486-1123
Mailing address
41 WHITNEY RD, COLUMBIA, CT 06237-1034
(860) 608-4184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000205
CT
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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