Individual
LAURIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, NSCA-CPT
Contact information
Practice address
720 PLEASANT ST, SOUTHINGTON, CT 06489-2713
(860) 628-3229
Mailing address
149 FLEETWOOD RD, PLANTSVILLE, CT 06479-1361
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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