Individual
PATRICE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-5421
(315) 963-7693
Mailing address
19472 US ROUTE 11, WATERTOWN, NY 13601-5387
(315) 782-3941
(315) 782-3816
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
039103
NY
Other
Enumeration date
08/21/2015
Last updated
11/24/2020
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