Individual
MRS. LORRI LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6400
Mailing address
1544 S SONORA DR, COLUMBIA, MO 65201-9087
(314) 504-8068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007008013
MO
Other
Enumeration date
08/19/2007
Last updated
08/19/2007
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