Individual
DR. JON-ANDREW MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 421-6800
Mailing address
602 LAMPTON LN, MCALESTER, OK 74501-7026
(918) 841-5121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5783
OK
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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