Individual
SARAH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40W057 CARL SANDBURG RD, SAINT CHARLES, IL 60175-7785
(630) 902-1557
Mailing address
40W057 CARL SANDBURG RD, SAINT CHARLES, IL 60175-7785
(630) 902-1557
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
M63578393851
IL
390200000X
Student in an Organized Health Care Education/Training Program
M63578393851
IL
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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