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Individual

TAYLOR LEIGH RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
117 SHARON RD, WATERBURY, CT 06705-4000
(203) 756-2334
Mailing address
8 LEDGEBROOK DR, WOLCOTT, CT 06716-2868
(203) 525-1164

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001142
CT

Other

Enumeration date
10/03/2017
Last updated
10/03/2017
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