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NPI Code Detail

MEDICARE: ANNA MARTIN DPT

MEDICARE: ANNA MARTIN DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
123171OTHERMALICENSE NUMBER

General Provider Information

NPI Number : 1083123434
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARTIN DPT
Provider Business Mailing Address
First Line : 210 COMMERCE WAY STE 120
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-8200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3 FERRY ST STE F
Second Line :
City : HAVERHILL
State : MA
Zip : 01835-7442
Country : US
Telephone Number : 978-469-9412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2017
Last Update Date : 09/28/2017

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Directions to “ ANNA MARTIN DPT” Practice Location

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