Individual
RYAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
714 S LAKE DR STE 150, LEXINGTON, SC 29072-3473
(803) 356-4782
(803) 996-4782
Mailing address
714 S LAKE DR STE 150, LEXINGTON, SC 29072-3473
(803) 356-4782
(803) 996-4782
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10670
SC
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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