Individual
MADISON SANDRA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
250 JOSEPHS DR, YORKTOWN, VA 23693-3405
(734) 717-0978
Mailing address
43 FENWICK RD, FORT MONROE, VA 23651-1006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215422
VA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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