Individual
KASIE-LYNNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
209 CHERRY STREET, MILFORD, CT 06460
(203) 874-5437
Mailing address
209 CHERRY STREET, MILFORD, CT 06460
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
009469
CT
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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