Individual
MARIANNE WILMARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
872 PELHAM PKWY, PELHAM, NY 10803-2710
(914) 712-9211
(914) 712-9212
Mailing address
872 PELHAM PKWY, PELHAM, NY 10803-2710
(914) 712-9211
(914) 712-9212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001312
NY
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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