Individual
MR. MATTHEW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5497 NORTHERN DANCER, SPRINGDALE, AR 72762-8337
(918) 346-9205
Mailing address
1128 E. CENTERTON BLVD, CENTERTON, AR 72719
(479) 464-3548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4027
AR
225100000X
Physical Therapist
Primary
4027
AR
Other
Enumeration date
08/04/2015
Last updated
12/14/2018
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