Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 3545 | NH |
Y | 213ES0000X | Sports Medicine | 3545 | NH |
NPI | 1013236157 |
---|---|
Provider Name | Dr. Emily Kathryn Marotta |
First Address | Windham, NH 03087-1347 |
Second Address | Windham, NH 03087-1347 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2010 |
Last Update Date | 28/05/2010 |