Individual
BETH ELLEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
19A DUNCAN DR, SOUTH DEERFIELD, MA 01373-9771
(413) 772-9937
Mailing address
19A DUNCAN DR, SOUTH DEERFIELD, MA 01373-9771
(413) 772-9937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3128
MA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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