Doctor Name: | AMANDA TILTON MARTIN |
NPI Number: | 1477620250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 040-0003034 |
Business Practice Address: | 56 Old Farm Rd Stowe, VT - 056724434 |
Business Phone Number: | 8022536852 |
Business Fax Number: | |
Mailing Address: | 3251 Vt Route 109, WATERVILLE |
State: | VT |
Postal Code: | 054929518 |
Phone Number: | 8026446364 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 040-0003034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |