Individual
DANA LYNN MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203
(704) 355-9047
(704) 355-9458
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-9047
(704) 355-9458
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2012-01403
NC
208100000X
Physical Medicine & Rehabilitation Physician
OS012401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518952886
—
NC
05
—
5921726
—
NC
05
—
NC1706
—
SC
Enumeration date
09/13/2005
Last updated
11/23/2016
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