Individual
MARTIN MONTEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T.,C.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-9234
Mailing address
PO BOX 15103, BOSTON, MA 02215-0002
(781) 607-8648
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
442
MA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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