Individual
PAUL G MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2166 GOLD HILL RD STE B, TEGA CAY, SC 29708-8384
(803) 802-5508
Mailing address
7349 WINDYRUSH RD, CHARLOTTE, NC 28226-3111
(704) 562-4770
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1631
SC
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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