NOAH CHARLESTON

FAIRFIELD, CT
NPI1134983042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  54.001369)
Enumeration Date2024-02-12
Last Update Date2024-02-12
Business Address
NOAH CHARLESTON LAT, ATC
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825-5508
Phone number: 203-337-2600
Mailing Address
NOAH CHARLESTON LAT, ATC
145 WILLIAMS RD
TRUMBULL, CT 06611-4353
Phone number: