Individual
MR. EARL D. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
808 S GARFIELD ST, PHILO, IL 61864-9784
(217) 684-2157
Mailing address
808 S GARFIELD ST, PHILO, IL 61864-9784
(217) 684-2157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070005266
IL
Other
Enumeration date
08/03/2008
Last updated
08/03/2008
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