Individual
ROBERT WILLIAM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 EVERGREEN DR, EAST PROVIDENCE, RI 02914-1503
(401) 438-3250
(401) 423-4813
Mailing address
21 TALLYHO RD, CUMBERLAND, RI 02864-3911
(401) 333-2214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00364
RI
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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