Individual
MR. GABRIEL JON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 750-7500
Mailing address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160047571
WA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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