Individual
ROXANNE RENE ST. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, SCS, ATC
Contact information
Practice address
1081 SEDGEFIELD CIR, MORRIS, AL 35116-1969
(334) 233-3651
Mailing address
1081 SEDGEFIELD CIR, MORRIS, AL 35116-1969
(334) 233-3651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3377
AL
2251S0007X
Sports Physical Therapist
PTH3377
AL
2251X0800X
Orthopedic Physical Therapist
PTH3377
AL
2255A2300X
Athletic Trainer
704
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063009918
NPI 2- RSM2PT
—
01
—
1245260942
NPI 1- INDIVIDUAL
—
Enumeration date
07/05/2006
Last updated
01/27/2021
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