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Individual

PAIGE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
2345 CANTERBURY LN, SISTER BAY, WI 54234-5602
(920) 854-4111
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3049-19
WI
225200000X
Physical Therapy Assistant
PTA.09490
OH
225200000X
Physical Therapy Assistant
WI

Other

Enumeration date
04/06/2015
Last updated
08/14/2024
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