| NPI | 1790950053 |
|---|---|
| Former Name | DEBRA ELIZABETH MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: AL PTH6607) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT004654) |
| 2251X0800X Physical Therapist Orthopedic (Licence: TN PT8071) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-11-16 |