Doctor Name: | PAMELLA J MARTIN |
NPI Number: | 1215075957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT20489 |
Business Practice Address: | 950 N Avalon Way Lecanto, FL - 344616004 |
Business Phone Number: | 3527462959 |
Business Fax Number: | 3527464418 |
Mailing Address: | Po Box 1990, CRYSTAL RIVER |
State: | FL |
Postal Code: | 344231990 |
Phone Number: | 3527462959 |
Fax Number: | 3527464418 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 12/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT20489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |