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Individual

DR. THOMAS P. MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1828 CRESCENT DR, SPRINGFIELD, OH 45504-1315
(937) 399-9712
Mailing address
1828 CRESCENT DR, SPRINGFIELD, OH 45504-1315
(937) 399-9712

Taxonomy

Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1005210
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106629
ACSM
Enumeration date
03/09/2022
Last updated
03/09/2022
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