Individual
REBECCA ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 LAWRENCE AVE, POTSDAM, NY 13676-1889
(315) 264-5460
Mailing address
200 HALLAHAN RD, NORTH LAWRENCE, NY 12967-9788
(570) 259-4673
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
034114-1
NY
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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