| NPI | 1649360389 |
|---|---|
| Former Name | SHAWNA R MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT1662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 1662) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-03-10 |