Individual
ALICE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9875 W 283RD ST, LOUISBURG, KS 66053-6107
(913) 837-1379
Mailing address
9875 W 283RD ST, LOUISBURG, KS 66053-6107
(913) 837-1379
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/31/2013
Last updated
08/31/2013
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