Individual
ELIZABETH DOROTHY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9289 SE 106TH PL, BELLEVIEW, FL 34420-3509
(352) 687-2090
Mailing address
9289 SE 106TH PL, BELLEVIEW, FL 34420-3509
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0244
NH
225200000X
Physical Therapy Assistant
11872
FL
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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