Alice Martin, PTA

NPI #1912331455 in Louisburg, Kansas

Provider Information

NPI Number: 1912331455
Entity Type: Individual
Name: Alice Martin, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 31, 2013
Last Updated: Aug 31, 2013

Practice Location

Address: 9875 W 283RD ST
City: Louisburg
State: Kansas
ZIP Code: 66053-6107
Phone: (913) 837-1379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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