Individual
LANCE JEFFREY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 E MCDOWELL RD FL 1, PHOENIX, AZ 85006-2506
(480) 210-6556
Mailing address
755 E MCDOWELL RD FL 1, PHOENIX, AZ 85006-2506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32491
AZ
Other
Enumeration date
08/07/2022
Last updated
08/08/2022
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