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Individual

RICHARD H MARTIN

Active
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Individual

RICHARD H MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
001953
WV
225100000X
Physical Therapist
Primary
PT013614L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720098
HIGHMARK BCBS
PA
01
—
650016284
RAILROAD MEDICARE
PA
05
—
9420048000
—
WV
Enumeration date
06/23/2006
Last updated
10/25/2013
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