Individual
DR. NICHOLAS JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 N MAIN ST, BRISTOL, CT 06010-4972
(860) 589-1881
Mailing address
255 N MAIN ST, BRISTOL, CT 06010-4972
(860) 589-1881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11554
CT
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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