Individual
MRS. HEATHER DAWN MARTIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
750 SE CARY PKWY, CARY, NC 27511-5682
(804) 698-9925
Mailing address
423 JUDSON DR, WAKE FOREST, NC 27587-2508
(804) 698-9925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306601641
VA
225200000X
Physical Therapy Assistant
Primary
5371
NC
Other
Enumeration date
03/22/2007
Last updated
11/13/2014
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