MARVIN LAWRENCE VIVAS MARTINEZ

SOUTH WILLIAMSON, KY
NPI1386296630
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: KY  007402)
Enumeration Date2019-07-16
Last Update Date2019-07-16
Business Address
Mr. MARVIN LAWRENCE VIVAS MARTINEZ PT, DPT
260 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503-4072
Phone number: 606-237-1717
Mailing Address
Mr. MARVIN LAWRENCE VIVAS MARTINEZ PT, DPT
52 TOLER LOOP APT 2
BELFRY, KY 41514-8692
Phone number: 917-584-5629
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