Individual
VICTORIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SE SALEM ST, OAK GROVE, MO 64075-9299
(816) 690-8900
Mailing address
264 WHITE TREE CT, BALLWIN, MO 63011-3300
(314) 488-3866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021043993
MO
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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