Individual
DYLAN MICHAEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
333 TAMIAMI TRL S STE 207, VENICE, FL 34285-2424
(941) 484-2471
Mailing address
5522 FORESTER POND AVE, SARASOTA, FL 34243-4825
(484) 363-0704
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32074
FL
225200000X
Physical Therapy Assistant
TE011902
PA
Other
Enumeration date
07/19/2022
Last updated
12/14/2023
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