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Individual

MRS. KELLY CHRISTINE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
453 640TH ST, WASHTA, IA 51061-7024
(712) 213-8674
(712) 743-5013
Mailing address
453 640TH ST, WASHTA, IA 51061-7024
(712) 213-8674
(712) 743-5013

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01131
IA

Other

Enumeration date
11/18/2009
Last updated
11/18/2009
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