Individual
MARISSA DUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1203 PHILADELPHIA AVE UNIT 2, OCEAN CITY, MD 21842-3675
(410) 430-1238
Mailing address
1203 PHILADELPHIA AVE. UNIT #2, OCEAN CITY, MD 21842
(410) 430-1238
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060102178
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060102178
NATA CERTIFICATION NUMBER
—
Enumeration date
02/08/2006
Last updated
09/17/2008
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