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Individual
JOAN MARTELLE
Active
Individual
JOAN MARTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015554
—
NY
01
—
000470603001
BSNENY
—
01
—
10022577
CDPHP
—
01
—
434492
MVP
—
01
—
Q12551
EMPIRE BLUE CROSS
—
Enumeration date
08/09/2006
Last updated
03/22/2017
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