Individual
THOMAS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 ARMORY ST, GREENSBORO, AL 36744-2110
(334) 624-3360
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3946
AL
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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