MS. Michele Lynn Matera, ATC, LAT

NPI #1972937704 in Bay Shore, New York

Provider Information

NPI Number
1972937704
Entity Type
Individual
Name
MS. Michele Lynn Matera, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Aug 28, 2013
Last Updated
Aug 28, 2013

Practice Location

Address
84 E LAKELAND ST
ZIP Code
11706-2028
Phone
(631) 601-4113

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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