Individual
AMANDA J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
72 PINE ST, BRISTOL, CT 06010-6960
(860) 585-5800
(860) 585-5840
Mailing address
72 PINE ST, BRISTOL, CT 06010-6960
(860) 585-5800
(860) 585-5840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11535
CT
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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