Individual
MRS. MICHELLE R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2310 CALIFORNIA ROAD, ELKHART, IN 46514-1228
(574) 534-2548
Mailing address
2310 CALIFORNIA ROAD, ELKHART, IN 46514-1228
(574) 264-0791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006744A
IN
Other
Enumeration date
08/31/2006
Last updated
06/11/2010
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