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NPI Code Detail

MEDICARE: KRISTINA LYNCH MARTIN PT

MEDICARE:   KRISTINA LYNCH MARTIN  PT
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
12251X0800XOrthopedic Physical Therapist1048551TX

General Provider Information

NPI Number : 1881832186
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA LYNCH MARTIN PT
Provider Business Mailing Address
First Line : 5950 BRYANT IRVIN RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4230
Country : US
Telephone Number : 817-294-4646
Fax Number :
Provider Business Practice Location Address
First Line : 5950 BRYANT IRVIN RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4230
Country : US
Telephone Number : 817-294-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2009
Last Update Date : 10/08/2009

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Directions to “ KRISTINA LYNCH MARTIN PT” Practice Location

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