Individual
CHRISTOPHER JAMES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
117 LAKE DR, ORLANDO, FL 32835
(407) 967-0450
Mailing address
117 LAKE DR, ORLANDO, FL 32835
(407) 967-0450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23666
FL
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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