Individual
MRS. KIMBERLY ROSE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
451 N HIGH ST, EAST HAVEN, CT 06512-1555
(203) 466-6850
Mailing address
410 EMMETT ST, UNIT 43, BRISTOL, CT 06010-8600
(860) 888-2397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007839
CT
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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