Individual
CONNOR R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 RICHLAND AVE, ATHENS, OH 45701-2745
(419) 307-3181
Mailing address
838 FENNIMORE ST, FREMONT, OH 43420-3121
(419) 307-3181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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