Organization
MARTIN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNA ROCHELLE MARTIN P.T. (P.T.)
(505) 443-8210
Entity
Organization
Contact information
Practice address
25 ARROYO RIDGE ROAD, ALAMOGORDO, NM 88310
(505) 443-8210
Mailing address
25 ARROYO RIDGE ROAD, ALAMOGORDO, NM 88310
(505) 443-8210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1662
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K8676
—
NM
01
—
1662
NM PT LICENSE
NM
Enumeration date
10/03/2006
Last updated
08/22/2020
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