Individual
MARTHA A NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
816 S 5TH ST STE F, MONTROSE, CO 81401-5765
(970) 240-4015
(970) 249-1983
Mailing address
2233 E MAIN ST, MONTROSE, CO 81401-3831
(970) 765-0818
(970) 497-8410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5273
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA106091
MEDICARE B PTAN FOR ASPEN GROVE PHYSICAL THERAPY
CO
01
—
P01400144
RAILROAD WORKERS MEDICARE
CO
Enumeration date
02/02/2009
Last updated
11/10/2015
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