| Doctor Name: | BERNARD MARTIN |
| NPI Number: | 1730579665 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PT011169L |
| Business Practice Address: | 1208 Kirkwood Hwy Elsmere, DE - 198052120 |
| Business Phone Number: | 3029931450 |
| Business Fax Number: | 3029931454 |
| Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
| State: | IL |
| Postal Code: | 604404909 |
| Phone Number: | 6302962222 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2015 |
| NPI Last Update Date: | 04/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT011169L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| 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 |