Individual
STACEY LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MOUNT ALLEN DR, MECHANICSBURG, PA 17055-6171
(717) 873-2919
Mailing address
5140 W CANAL RD, DOVER, PA 17315-3960
(717) 873-2919
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TEI001292
PA
Other
Enumeration date
01/01/2018
Last updated
01/01/2018
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