MICHELE LYNN MATERA

BAY SHORE, NY
NPI1972937704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  0021391)
Enumeration Date2013-08-28
Last Update Date2013-08-28
Business Address
Ms. MICHELE LYNN MATERA ATC, LAT
84 E LAKELAND ST
BAY SHORE, NY 11706-2028
Phone number: 631-601-4113
Mailing Address
Ms. MICHELE LYNN MATERA ATC, LAT
84 E LAKELAND ST
BAY SHORE, NY 11706-2028
Phone number: 631-601-4113
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