Individual
AMANDA L. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
580 OLD HOMESTEAD HWY, SWANZEY, NH 03446-2301
(603) 352-6955
Mailing address
PO BOX 232, EAST THETFORD, VT 05043-0232
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1305
NH
Other
Enumeration date
12/14/2016
Last updated
11/05/2018
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