Individual
ANGELA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 WESTERN AVE, S PORTLAND, ME 04106-2432
(207) 879-7510
Mailing address
260 WESTERN AVE, S PORTLAND, ME 04106-2432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2893
ME
Other
Enumeration date
03/29/2007
Last updated
04/01/2008
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