Individual
DR. JUAN MICHELLE MARTIN
Active
Individual
DR. JUAN MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
009599
GA
2251X0800X
Orthopedic Physical Therapist
029661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2854827
UNITED HEALTH (UHC)
NY
01
—
712781
MPN
NY
01
—
Q579A1
BCBS
NY
Enumeration date
09/05/2007
Last updated
03/17/2016
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