Individual
MRS. SARAH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 377-3850
Mailing address
5602 MILLRUN AVE, GARDEN CITY, ID 83714-1632
(701) 541-5180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT - 4479
ID
Other
Enumeration date
05/26/2016
Last updated
08/09/2017
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