Individual
TARA MALTBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5 EASTPARK CT, GARNERVILLE, NY 10923-1004
(845) 323-2879
Mailing address
5 EASTPARK CT, GARNERVILLE, NY 10923-1004
(845) 323-2879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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