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Organization
MARTIN PEDIATRIC PHYSICAL THERAPY, INC.
Active
Organization
MARTIN PEDIATRIC PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY S MARTIN DPT, ATC (OWNER)
(847) 863-3901
Entity
Organization
Contact information
Practice address
656 BLAZING STAR DR, LAKE VILLA, IL 60046-9012
(847) 863-3901
(847) 245-1476
Mailing address
656 BLAZING STAR DR, LAKE VILLA, IL 60046-9012
(847) 863-3901
(847) 245-1476
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
070.013168
IL
Other
Enumeration date
09/21/2007
Last updated
04/09/2012
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