THEODORE MARTIN

PAGE, AZ
NPI1992257695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  11135)
Enumeration Date2016-10-28
Last Update Date2016-10-28
Business Address
-- THEODORE MARTIN
39 6TH AVENUE
PAGE, AZ 86040
Phone number: 928-812-0152
Mailing Address
-- THEODORE MARTIN
PO BOX 1015
PAGE, AZ 86040-1015
Phone number: 928-645-0366
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