Individual
MRS. MARTHA MCRACKEN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 MAGELLAN DR, SARASOTA, FL 34243-1008
(941) 465-7133
(866) 701-1969
Mailing address
611 MAGELLAN DR, SARASOTA, FL 34243-1008
(941) 465-7133
(866) 701-1969
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002345500
—
FL
Enumeration date
05/11/2010
Last updated
03/20/2019
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