| NPI | 1871799635 |
|---|---|
| Doing Business As | VALLEY SPORTS PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | NICHOLE WEDDERBURN Office / Billing Manager 860-675-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CT 040264) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CT 000406) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CT 040264) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CT 000406) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-10-24 |