Individual
JAIME ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4353
Mailing address
1324 178TH BLVD, BATAVIA, IA 52533-8532
(641) 919-0012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01109
IA
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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