| NPI | 1801832480 |
|---|---|
| Professional Name | THEODORE (TAD) B MARTIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3924) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2010-11-15 |