Individual
ASHLEY N MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4339 ROOSEVELT BLVD STE 600, JACKSONVILLE, FL 32210-2000
(904) 389-8570
(904) 389-8599
Mailing address
1325 SAN MARCO BLVD STE 200, ATTN: CREDENTIALING, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 858-6490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21212
FL
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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