Pamela A Martin, PT ATC
Physical Therapist in Meridian, ID. Individual provider (NPI-1).
NPI number1154380293
StatusActive
Last updated in NPPESJun 19, 2009
Details
- NPI
- 1154380293
- Entity type
- Individual (NPI-1)
- Name
- Pamela A Martin
- Credential
- PT ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2006
- Last updated
- Jun 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT1850 | ID | Yes |
Practice location
1618 Millenium WaySuite 210
Meridian, ID 83642-6439
Phone 208-884-4647 · Fax 208-884-8984
Mailing address
1673 W Shoreline DrSuite 230
Boise, ID 83702-6750
Phone 208-343-4700 · Fax 208-343-4706
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