Individual
MICHAEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(401) 864-6144
Mailing address
850 E MAIN ST APT 230, STAMFORD, CT 06902-3951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1298
CT
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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