Individual
SAMANTHA MALETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1269 BARCLAY CIR SE, MARIETTA, GA 30060-2903
(860) 803-4914
Mailing address
1269 BARCLAY CIR SE, MARIETTA, GA 30060-2903
(860) 803-4914
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000022426
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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