Individual
EVYN GRACE CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2095 HILLSIDE RD # U-1110, STORRS, CT 06269-1110
(860) 486-5322
Mailing address
1519 MERIDEN RD, WOLCOTT, CT 06716-3122
(203) 725-6876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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