Individual
TODD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
785 CHERRY TREE CT, HANOVER, PA 17331-7902
(717) 633-9595
Mailing address
5140 W CANAL RD, DOVER, PA 17315-3960
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001480A
PA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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