Individual
THOMAS ROGER MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
8322 BELLONA AVE, STE 303, TOWSON, MD 21204-2012
(410) 374-4000
Mailing address
9510 PERRY HALL BLVD, APT 104, NOTTINGHAM, MD 21236-1322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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