Individual
ERIC MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
501 CHURCH ST NE STE 105, VIENNA, VA 22180-4734
(703) 938-8585
Mailing address
2876 SUTTON OAKS LN, VIENNA, VA 22181-6146
(757) 615-1654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209673
VA
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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