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ADRIENNE LARA FEDYNA DEMBECK MED, ATC, LAT

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1770183030

Individual Registrant:
 ADRIENNE LARA FEDYNA DEMBECK MED, ATC, LAT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
211 NEW BRITAIN RD STE 101  BERLIN, CT 06037-3167 US
Tel: 860-827-1333  Fax: 860-223-9238

Contact information for business:
211 NEW BRITAIN RD STE 101  BERLIN, CT 06037-3167 US
Tel: 860-827-1333  Fax: 860-223-9238

Registration Information:
NPI: 1770183030
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
CT001413

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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