Fabricio L Arevalo

Individual provider Active NPI Athletic Trainer · Torrington, CT

NPI 1992408645 · NPPES record last updated Mar 22, 2023

Key facts

NPI
1992408645
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
348 Brightwood Ave
Torrington, CT 06790-3715
Phone
(860) 921-4802
NPI assigned
Mar 22, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

348 Brightwood Ave
Torrington, CT 06790-3715

Mailing address

348 Brightwood Ave
Torrington, CT 06790-3715
Phone (860) 921-4802

Other providers in Torrington, CT

All providers in Torrington, CT · Athletic Trainer in Connecticut

Sources for this page

Verify at the official NPI Registry.