Individual
DONOVAN MARTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
800 COUNTRY CLUB RD, WATERBURY, CT 06708-3240
(732) 221-5884
Mailing address
800 COUNTRY CLUB RD, WATERBURY, CT 06708-3240
(732) 221-5884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
10/26/2022
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