Individual
MICHAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
888 WHITE PLAINS RD FL 2, 209, TRUMBULL, CT 06611-4552
(203) 459-1133
(203) 445-5546
Mailing address
888 WHITE PLAINS RD FL 2, 209, TRUMBULL, CT 06611-4552
(203) 459-1133
(203) 445-5546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11062
CT
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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