MARK W SARAULT

GLASTONBURY, CT
NPI1053659250
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA  A160301117)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
-- MARK W SARAULT ATC,AT/L
2345 MAIN ST
GLASTONBURY, CT 06033-2211
Phone number: 860-633-5572
Mailing Address
-- MARK W SARAULT ATC,AT/L
223 116TH AVE NE
LAKE STEVENS, WA 98258-8628
Phone number: 317-213-8532