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Individual

JOHN MART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3301 STOCKDALE ST, MOUNT PLEASANT, SC 29466-7125
(843) 375-5488
Mailing address
4 SEAGRASS LN, ISLE OF PALMS, SC 29451-2838

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1094
SC

Other

Enumeration date
07/11/2006
Last updated
07/08/2007
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