| NPI | 1255850558 |
|---|---|
| Former Name | ALLISON MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14526) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10234) |
| 225100000X Physical Therapist (Licence: NM 5099) | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2023-01-12 |