Individual
MR. TADD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
117 N GRAND BLVD, OSCEOLA, IN 46561-2008
(574) 855-6200
Mailing address
117 N GRAND BLVD, OSCEOLA, IN 46561-2008
(574) 855-6200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003221A
IN
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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