Individual
KEVIN CHARLES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
170 TAYLOR STATION RD STE 220, COLUMBUS, OH 43213-4491
(614) 866-8158
Mailing address
457 WOODVIEW RD, WESTERVILLE, OH 43081-3050
(614) 795-5550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9081
OH
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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