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Individual

ROGER MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 649-7070
Mailing address
3038 ROYAL ST, NEW ORLEANS, LA 70117-6741

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04300R
LA

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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