NPI 1083438733

Adam Ahmad Rizal

Practitioner Athletic Trainer Storrs, CT

Practice location

Address: 2095 Hillside Rd # U-1110, Storrs, CT 06269-1110
Phone: (860) 486-1121

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1083438733
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2024
Record last updated: 11 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.