PROF. Lori Michell Martin

NPI #1619657509 in Pace, Florida

Provider Information

NPI Number: 1619657509
Entity Type: Individual
Name: PROF. Lori Michell Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 24, 2023
Last Updated: Jul 24, 2023

Practice Location

Address: 4685 CHUMUCKLA HWY
City: Pace
State: Florida
ZIP Code: 32571-1007
Phone: (850) 736-8412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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