| Doctor Name: | MRS. STEPHANIE MARTIN |
| NPI Number: | 1407287857 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 20856 |
| Business Practice Address: | 1 Kendall Sq Building 400 Cambridge, MA - 021391562 |
| Business Phone Number: | 6174910264 |
| Business Fax Number: | 6174914411 |
| Mailing Address: | 261 Commonwealth Ave, Apt 9 BOSTON |
| State: | MA |
| Postal Code: | 021161631 |
| Phone Number: | 9125964618 |
| Fax Number: | 6174914411 |
| NPI Enumeration Date: | 12/11/2013 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 20856 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |