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Individual

JULIE G. MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2802 GREENSBORO RD, MARTINSVILLE, VA 24112-8109
(276) 666-1600
(276) 666-9658
Mailing address
99 COUNTRY WOOD LN, APT. 4, COLLINSVILLE, VA 24078-2761
(276) 252-2240

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004303
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010290589
VA
01
7030669
AETNA PROVIDER NUMBER
VA
Enumeration date
08/30/2006
Last updated
02/22/2011
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