Individual
MR. JOSEPH KERVIN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
216 SAINT JAMES DR, LAFAYETTE, LA 70506-5914
(337) 654-4542
(337) 984-1097
Mailing address
216 SAINT JAMES DR, LAFAYETTE, LA 70506-5914
(337) 654-4542
(337) 984-1097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02437R
LA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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