NPI 1154506152

Sabrena Diana Lary, ATC

Practitioner Athletic Trainer Glastonbury, CT

Practice location

Address: 330 Western Blvd STE 101, Glastonbury, CT 06033-4383
Phone: (860) 657-4723
Mailing address: 30 Babula Rd, Thompson, CT 06277-1401

Registered specialties (4)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000438 (CT)

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Registry record

NPI: 1154506152
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2008
Record last updated: 23 Mar 2020

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.