John Nelson
Specialist/Technologist, Athletic Trainer in New London, CT. Individual provider (NPI-1).
NPI number1154580652
StatusActive
Last updated in NPPESJun 9, 2008
Details
- NPI
- 1154580652
- Entity type
- Individual (NPI-1)
- Name
- John Nelson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2008
- Last updated
- Jun 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 000441 | CT | Yes |
Practice location
365 Montauk AveNew London, CT 06320-4700
Phone 860-442-0711
Mailing address
365 Montauk AveNew London, CT 06320-4700
Phone 860-442-0711
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All 15 Athletic Trainer providers in New London · All 1,472 providers in New London
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