Doctor Name: | COLIN MARTIN |
NPI Number: | 1639103450 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PTH2329 |
Business Practice Address: | 14001 Highway 43 Franklin Plaza Suite 18 & 19 Russellville, AL - 356532848 |
Business Phone Number: | 2563310070 |
Business Fax Number: | 2563310054 |
Mailing Address: | 1110 Twin Pines Cir, TUSCUMBIA |
State: | AL |
Postal Code: | 356747704 |
Phone Number: | 2563321871 |
Fax Number: | 2563507757 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PTH2329 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |