Individual
NICOLE KLARIDES-DITRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC.L.
Contact information
Practice address
200 HIGH ST, MILFORD, CT 06460-3249
(203) 410-8322
Mailing address
23 OSPREY DR, SEYMOUR, CT 06483-2368
(203) 410-8322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000284
CT
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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