Individual
CHANCE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
Mailing address
1430 S TREETOP CT, OZARK, MO 65721-8015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014019578
MO
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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