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ALEXANDRIA MUNOZ ATC
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1689188856
Individual Registrant: ALEXANDRIA MUNOZ ATC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
70 JEWETT CITY RD TAFTVILLE, CT 06380-1246 US
Tel: 860-319-2335 Fax: --
Tel: 860-319-2335 Fax: --
Contact information for business:
483 TOLL GATE RD GROTON, CT 06340-6235 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1689188856
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer | NY | 002785 |
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | CT | 001276 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
