Individual
JULIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(402) 590-5831
Mailing address
15711 SHAMROCK RD, OMAHA, NE 68118-2173
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
004862
IA
225200000X
Physical Therapy Assistant
Primary
1086
NE
372600000X
Adult Companion
—
—
Other
Enumeration date
01/24/2012
Last updated
03/19/2025
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