Active NPIIndividual providerSole proprietor

Magdalena Wilson, ATC/L

Specialist/Technologist, Athletic Trainer in Watertown, Connecticut

NPI Number1841730355
Practice location
110 Woodbury RD, Watertown, CT 06795-2130
Fax
—
Last updated
March 2, 2017

Magdalena Wilson is a Specialist/Technologist, Athletic Trainer based in Watertown, CT. Magdalena Wilson practices in Watertown, CT and has the professional credentials of ATC/L. The NPI Number for Magdalena Wilson is 1841730355 and holds a License No. 001045 (CT). The current practice location address for Magdalena Wilson is 110 Woodbury RD, Watertown, CT 06795-2130 and can be reached out via phone at 860-945-7713.

Provider Profile Details

NPI Number
1841730355
Provider Name
Magdalena Wilson
Credential
ATC/L
Provider Entity Type
Individual
Gender
Female
Address
110 Woodbury RD, Watertown, CT 06795-2130
Phone Number
860-945-7713
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
March 2, 2017
Last Update Date
March 2, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Woodbury RD
Watertown, CT 06795-2130
Zip
06795-2130
Phone Number
860-945-7713
Watertown, CT 06795Get directions →

Provider Business Mailing Address Details

Address
31 Warren Way
Watertown, CT 06795-2113
City
Watertown
State
CT
Zip
06795-2113
Phone Number
860-961-3251

License Information

License Number
001045
License State
CT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Magdalena Wilson, ATC/L?

The NPI number of Magdalena Wilson, ATC/L is 1841730355. It was assigned on March 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Magdalena Wilson, ATC/L?

Magdalena Wilson, ATC/L is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 001045.

Where does Magdalena Wilson, ATC/L practice?

The practice location is 110 Woodbury RD, Watertown, CT 06795-2130. The office can be reached at 860-945-7713 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841730355 directly on the NPPES registry website.

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