Individual
MARIA N MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
501 S AUSTIN AVE, #1310, GEORGETOWN, TX 78626-5610
(512) 864-6054
(512) 869-8157
Mailing address
501 S AUSTIN AVE, #1310, GEORGETOWN, TX 78626-5610
(512) 864-6054
(512) 869-8157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1073518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073518
PT LICENSE
TX
Enumeration date
06/12/2009
Last updated
06/12/2009
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