Jacqulyn Loraine Martin, PTA

NPI #1487136172 in Kerrville, Texas

Provider Information

NPI Number: 1487136172
Entity Type: Individual
Name: Jacqulyn Loraine Martin, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 30, 2018
Last Updated: Aug 30, 2018

Practice Location

Address: 1400 HILLTOP RD
City: Kerrville
State: Texas
ZIP Code: 78028-2851
Phone: (830) 895-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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