Doctor Name: | DR. JEREMY DAVID MARTINSEN |
NPI Number: | 1003121278 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 40QA01365700 |
Business Practice Address: | 3115 Route 38 Suite 300 Mount Laurel, NJ - 080549725 |
Business Phone Number: | 8562738080 |
Business Fax Number: | 8562730633 |
Mailing Address: | 3115 Route 38, Suite 300 MOUNT LAUREL |
State: | NJ |
Postal Code: | 080549725 |
Phone Number: | 8562738080 |
Fax Number: | 8562730633 |
NPI Enumeration Date: | 08/12/2010 |
NPI Last Update Date: | 08/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01365700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |