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Individual

ELIZABETH A MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 SHERIDAN SQ STE 100, KINGSPORT, TN 37660-7392
(423) 230-0194
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7147

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14339
TN
225100000X
Physical Therapist
CP026201T
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14439
PT LICENSE
TN
Enumeration date
08/12/2022
Last updated
04/17/2025
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