Individual
GRACE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5000 PLEASANTON AVENUE, 2ND FLOOR, SUITE 200, PLEASANTON, CA 94566
(844) 416-7846
Mailing address
4372 BRISTOLWOOD RD, PLEASANTON, CA 94588-4366
(925) 963-9687
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000041871
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2018
Last updated
07/13/2022
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