Individual
COLLEEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 KIETZKE LN, SUITE O-260, RENO, NV 89502-5033
(775) 825-9995
(775) 825-9877
Mailing address
12240 BOWMAR CIR, RENO, NV 89506-9460
(775) 825-9995
(775) 825-9877
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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