| Doctor Name: | BENJAMIN REID MARTIN |
| NPI Number: | 1336575489 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 4715 |
| Business Practice Address: | 1960 Harper St Suite B Choctaw, OK - 730208095 |
| Business Phone Number: | 4052815785 |
| Business Fax Number: | 4052815786 |
| Mailing Address: | 3705 W Memorial Rd, Suite 310 OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731341512 |
| Phone Number: | 4057496281 |
| Fax Number: | 4059366496 |
| NPI Enumeration Date: | 09/20/2013 |
| NPI Last Update Date: | 10/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| 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 |