Individual
MR. WILLIAM JOHN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PTA
Contact information
Practice address
150 PRESIDENTIAL WAY, WOBURN, MA 01801-1100
(781) 782-1335
Mailing address
98 CHESTNUT ST, WILMINGTON, MA 01887-3912
(978) 657-6558
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
656
MA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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