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Individual

MEGAN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST A

Contact information

Practice address
2501 RICE LAKE ROAD, DULUTH, MN 55811
(218) 625-6400
Mailing address
PO BOX 274, ESKO, MN 55733
(218) 391-0906

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1015
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A1015
PHYSICAL THERAPIST ASSISTANT
MN
Enumeration date
05/01/2013
Last updated
05/01/2013
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