| NPI | 1568017937 |
|---|---|
| Other Name | MONTY MARTIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20294) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2022-01-11 |