Individual
THERESA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 ROBINSON ST, POTTSTOWN, PA 19464-6421
(610) 326-9250
Mailing address
210 EAST ST, POTTSTOWN, PA 19464-4502
(610) 804-0091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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