Individual
MIRANDA C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7395 W EASTMAN PL, LAKEWOOD, CO 80227-5006
(303) 730-8000
Mailing address
831 CHERRY ST APT 33, DENVER, CO 80220-4040
(630) 452-6370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0015840
CO
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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