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Individual

ELIZABETH JONELLE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
(816) 228-5900
Mailing address
801 N MAIN ST, INDEPENDENCE, MO 64050-2829

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06340
KS
225100000X
Physical Therapist
Primary
2019044107
MO

Other

Enumeration date
01/12/2020
Last updated
01/12/2020
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