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Individual

MS. LISA APRIL MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
13011 SANDY KEY BND, UNIT 6, NORTH FORT MYERS, FL 33903-6973
(847) 338-3553
Mailing address
13011 SANDY KEY BND, UNIT 6, NORTH FORT MYERS, FL 33903-6973
(847) 338-3553

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160.004510
IL
225200000X
Physical Therapy Assistant
Primary
PTA23217
FL

Other

Enumeration date
04/16/2007
Last updated
10/26/2012
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