Individual
MRS. ELISSA BENTLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6020 W PARKER RD STE 200, PLANO, TX 75093-8172
(972) 608-5011
(972) 608-5029
Mailing address
7009 ARCOLA DR, PLANO, TX 75074-8757
(469) 525-6222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1286356
TX
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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