Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gena Fuller, ATC/L

Individual provider Athletic Trainer · NPI 1619577103

Gena Fuller, ATC/L is an Athletic Trainer in Bridgeport, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2020
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Practice location Address checks out

4675 Main St
Bridgeport, CT 06606-1813
Phone: (203) 373-0551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1026 (CT)

Record details

NPI number1619577103
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC/L
Sole proprietorYes
NPI enumeratedOctober 26, 2020
Last updated in NPPESNovember 27, 2023
Certification dateAugust 26, 2020
Mailing address35 Voight Ave, Bridgeport, CT 06606-1537

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