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Individual

MR. MARTIN VINCE TASSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
7015 HIGHWAY 190 EAST SERVICE RD, E. SERVICE ROAD # 103, COVINGTON, LA 70433-4960
(985) 893-8285
(985) 893-8288
Mailing address
7015 HIGHWAY 190 EAST SERVICE RD, E. SERVICE ROAD # 103, COVINGTON, LA 70433-4960
(985) 893-8285
(985) 893-8288

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00211
LA

Other

Enumeration date
07/11/2007
Last updated
07/11/2007
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