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Individual

MS. ANN K MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704-8112
(309) 663-6461
(309) 661-8107
Mailing address
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704-8112
(309) 663-6461
(309) 661-8107

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07016889
IL

Other

Enumeration date
03/05/2010
Last updated
03/01/2019
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