Individual
KATHLEEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
505 JIM CALHOUN WAY, STORRS MANSFIELD, CT 06269
(860) 617-7639
Mailing address
111 JOHN OLDS DR APT 212, MANCHESTER, CT 06042-8795
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
01/30/2018
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