Individual
JENNIFER LYN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5454 WISCONSIN AVE, 18TH FLOOR, CHEVY CHASE, MD 20815-6901
(240) 350-6318
(301) 982-9506
Mailing address
8812 EDMONSTON RD, BERWYN HEIGHTS, MD 20740-2334
(301) 982-9504
(301) 982-9506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18241
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H940-0001
CAREFIRST BCBS
—
01
—
J265JL
CAREFIRST BCBS
—
Enumeration date
05/16/2007
Last updated
07/08/2007
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