Individual
MR. GARRETT LUDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 HOWARD AVE, SOUTHINGTON, CT 06489-3030
(860) 877-4955
Mailing address
8 HOWARD AVE, SOUTHINGTON, CT 06489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000157
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000157
STATE LICENSE
CT
Enumeration date
03/13/2014
Last updated
03/13/2014
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