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Individual

KAONA R MARTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
170 FORD RD, JOHN DAY, OR 97845-2009
(541) 575-4157
(541) 575-1255
Mailing address
170 FORD RD, JOHN DAY, OR 97845-2009
(541) 575-4157
(541) 575-1255

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6411
OR

Other

Enumeration date
02/24/2011
Last updated
02/24/2011
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