Individual
CATHERINE MYDOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2095 HILLSIDE RD # U-1110, STORRS, CT 06269-1110
(860) 486-1121
Mailing address
2095 HILLSIDE RD # U-1110, STORRS, CT 06269-1110
(860) 486-1121
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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