Individual
NICHOLAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
740 MERRITT CAPITAL DR STE 105, WAKE FOREST, NC 27587-3740
(919) 803-0738
(919) 882-1727
Mailing address
1408 GREENWAY CT, SANFORD, NC 27330-6953
(919) 708-7220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6050
NC
Other
Enumeration date
07/13/2016
Last updated
02/26/2025
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