Individual
MICHELLE MARIE MARTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1000 N 2ND ST, EFFINGHAM, IL 62401-3174
(217) 347-8815
Mailing address
1000 N 2ND ST, EFFINGHAM, IL 62401-3174
(217) 347-8815
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000681
IL
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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