Individual
MRS. JENNIFER KAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1420 OAKES AVENUE, SUPERIOR, WI 54880
(715) 394-6355
(715) 394-2191
Mailing address
1225 3RD AVENUE, PROCTOR, MN 55810
(218) 590-1202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1060019
WI
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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