Individual
MRS. DEBRA ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
333 GREEN END AVE, MIDDLETOWN, RI 02842-5620
(401) 849-7100
Mailing address
963 INDIAN TOWN RD, WESTPORT, MA 02790-1813
(508) 678-3888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00234
RI
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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