Individual
MARTHA JANE CARRABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2031 AVONDALE ST, HUMBOLDT, TN 38343-1810
(731) 784-3655
Mailing address
629 N 14TH AVE, HUMBOLDT, TN 38343-3711
(830) 299-0386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2557
TN
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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