Individual
CALISSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10070
OH
225200000X
Physical Therapy Assistant
2119099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10070
PHYSICAL THERAPIST ASSISTANT LICENSE
OH
01
—
2119099
PHYSICAL THERAPY ASSISTANT LICENSE
TX
Enumeration date
08/14/2018
Last updated
10/18/2021
Update your record
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