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Individual
SASA MARTINOVIC
Active
Individual
SASA MARTINOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8649
TN
225100000X
Physical Therapist
Primary
9385
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520518
—
TN
01
—
4269164
BLUECROSS BLUESHIELD
TN
01
—
9668744
AETNA
—
01
—
9770617
CIGNA
TN
01
—
P00884970
RR MEDICARE
TN
05
—
TH3750
—
SC
Enumeration date
06/09/2010
Last updated
06/24/2021
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