Individual
MYRANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 CALLAWAY DR, CORPUS CHRISTI, TX 78415-5675
(361) 658-2238
Mailing address
6109 CALLAWAY DR, CORPUS CHRISTI, TX 78415-5675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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