Individual
KEVIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 KEYSTONE DR, LEOMINSTER, MA 01453-1904
(978) 537-9327
Mailing address
60 ELLIS ST, FITCHBURG, MA 01420-7924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3655
MA
Other
Enumeration date
03/29/2007
Last updated
12/17/2020
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