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Individual

MRS. DENISE LYN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
10679 BUSINESS 21, HILLSBORO, MO 63050-5094
(314) 650-1116
Mailing address
1329 BEULAH DR, FESTUS, MO 63028-1074
(314) 650-1116

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104968
MO

Other

Enumeration date
11/12/2017
Last updated
03/17/2018
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