# MARTHA E NANCE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548346455
- **Gender:** F
- **Credential:** PT, CWS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT1300 | MS | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 06/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00123980 | — | MS |
| 05 | — | 200011205 | — | MS |