Individual
MR. MARK DAVID ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
2345 MAIN ST, HEALTHTRAX INTERNATIONAL INC., GLASTONBURY, CT 06033-2211
(716) 879-5023
Mailing address
PO BOX 422, SAVONA, NY 14879-0422
(740) 707-1363
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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