Individual
SEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4447 PEMBROOK VILLAGE DR, ALEXANDRIA, VA 22309-1865
(561) 862-9168
Mailing address
4447 PEMBROOK VILLAGE DR, ALEXANDRIA, VA 22309-1865
(561) 862-9168
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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