Martin, Thomas

Martin, Thomas is an individual health care provider with primary practice located at 1 Clinic Road , Grand Canyon AZ 86023. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Martin, Thomas can be contacted via phone (928) 638-2551.

Contact Information

Primary practice address
1 Clinic Road Grand Canyon AZ 86023
Phone: (928) 638-2551
Fax: (928) 638-2598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3678 Arizona

Profile Details

NPI number 1013981133
LBN Legal business name Martin, Thomas
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 27th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013981133 NPPES
Arizona Other 3678 LICENSE

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