Individual
MRS. EMILY MILLARD MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
219 S MAIN ST, DEPARTMENT OF SPORTS MEDICINE, MIDDLEBURY, VT 05753-1443
(802) 443-5976
(802) 443-2094
Mailing address
265 DOUGLAS RD, CORNWALL, VT 05753-9497
(802) 462-3566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000147
VT
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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