Individual
MR. MICHAEL MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1400 LINE AVE, SHREVEPORT, LA 71101-4620
(318) 213-3810
Mailing address
314 TANYARD TRCE, BENTON, LA 71006-9735
(318) 453-0387
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07799
LA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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