Individual
THOMAS NATHAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 MILLER ST, LEBANON, OH 45036-1934
(513) 502-4874
Mailing address
507 MILLER ST, LEBANON, OH 45036-1934
(513) 502-4874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05773
OH
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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