Theodore Martin

NPI #1992257695 in Page, Arizona

Provider Information

NPI Number: 1992257695
Entity Type: Individual
Name: Theodore Martin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 28, 2016
Last Updated: Oct 28, 2016

Practice Location

Address: 39 6TH AVENUE
City: Page
State: Arizona
ZIP Code: 86040
Phone: (928) 812-0152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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