Individual
RAVEN ANNELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5010 TROTWOOD AVE, COLUMBIA, TN 38401-5074
(931) 398-6300
Mailing address
1120 SEQUOYA TRL, COLUMBIA, TN 38401-8411
(615) 417-4219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8597
TN
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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