Individual
NICOLE MARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2110 16TH ST STE 7, BAY CITY, MI 48708-7609
(989) 495-8446
Mailing address
270 MIDLAND RD, BAY CITY, MI 48706-9717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002834
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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