Individual
MISS ANDRESSA OLIVEIRA MARTINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
935 ONE LANDON LOOP, COASTAL CAROLINA UNIVERSITY, CONWAY, SC 29526
(843) 349-2823
Mailing address
360 MYRTLE GREENS DR, APT E, CONWAY, SC 29526-9016
(843) 349-2823
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
102692173
SC
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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