Individual
COURTNEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10866 E COUNTY ROAD 600N, MATTOON, IL 61938-8481
(217) 234-7128
Mailing address
10866 E COUNTY ROAD 600N, MATTOON, IL 61938-8481
(217) 234-7128
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002143
IL
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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