| NPI | 1205172889 |
|---|---|
| Former Name | CORRIE MICHELLE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9489) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011068) |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2018-06-22 |