HEIDI MARTIN

PORTLAND, OR
NPI1477957140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  8827)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: TN  5636)
Enumeration Date2014-10-09
Last Update Date2014-10-09
Business Address
-- HEIDI MARTIN PTA
3060 SE STARK ST
PORTLAND, OR 97214-3053
Phone number: 503-535-4700
Mailing Address
-- HEIDI MARTIN PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: