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General NPI Number Information
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NPI Number | 1609050368
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Entity Type | Organization
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Legal Business Name | MARTIN PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 27993 CROSS CREEK DR
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City | SALISBURY
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State | MD
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Zip | 21801-2430
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Country | US
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Telephone | 410-219-5131
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Fax | 410-219-5132
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Provider Business Mailing Address
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Address Line | 27993 CROSS CREEK DR
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City | SALISBURY
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State | MD
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Zip | 21801-2430
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Country | US
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Telephone | 410-219-5131
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Fax | 410-219-5132
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN EDWARD MARTIN
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Credential | P.T., OCS
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Telephone | 410-219-5131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J1-0000966
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17674
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305205546
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License Number State | VA
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