Individual
MRS. JESSICA LEA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-2712
Mailing address
1403 W 2ND TER, LAWRENCE, KS 66044-4603
(785) 218-0243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103441
KS
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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