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Individual

TARA CATHERINE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
639 HOWARD RD, WEST POINT, NY 10996-1510
(845) 938-2297
Mailing address
12A LIBERTY ST, HIGHLAND FALLS, NY 10928-1918

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002863
NY

Other

Enumeration date
03/03/2016
Last updated
03/03/2016
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