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Individual

TAD B MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1510 RIBAUT RD, PORT ROYAL, SC 29935-1403
(843) 524-3241
(843) 322-3240
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3924
SC
225X00000X
Occupational Therapist

Other

Enumeration date
06/21/2006
Last updated
11/15/2010
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