Doctor Name: | MRS. JENNIFER LYNN MARTIN |
NPI Number: | 1023217486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT 2219 |
Business Practice Address: | 2700 Vine St. El Dorado, AR - 71730 |
Business Phone Number: | 8708621144 |
Business Fax Number: | |
Mailing Address: | 2700 Vine St., EL DORADO |
State: | AR |
Postal Code: | 71730 |
Phone Number: | 8708621144 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2007 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 2219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |