PHILIP JAY STEVENSON

WEST HARTFORD, CT
NPI1225501976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  001270)
Enumeration Date2019-01-05
Last Update Date2019-01-05
Business Address
Mr. PHILIP JAY STEVENSON ATC LAT
200 BLOOMFIELD AVE
WEST HARTFORD, CT 06117-1599
Phone number: 623-521-6312
Mailing Address
Mr. PHILIP JAY STEVENSON ATC LAT
47 VILLAGE LN APT 811
WETHERSFIELD, CT 06109-1084
Phone number: 623-521-6312
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