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Individual

TERESA MARIE MARTILIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1147 SUSAN AVE, WOODSTOCK, VA 22664-1043
(540) 459-2189
Mailing address
85 MEADOW RIVER DR, ROCKY MOUNT, VA 24151-4500
(540) 420-9608

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001005
VA

Other

Enumeration date
03/28/2006
Last updated
07/08/2007
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