Individual
PAMELA A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ATC
Contact information
Practice address
1618 MILLENIUM WAY, SUITE 210, MERIDIAN, ID 83642-6439
(208) 884-4647
(208) 884-8984
Mailing address
1673 W SHORELINE DR, SUITE 230, BOISE, ID 83702-6750
(208) 343-4700
(208) 343-4706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1850
ID
Other
Enumeration date
03/18/2006
Last updated
06/19/2009
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