Sharon D Martin ITDS

NPI 1417156720 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1417156720
Gender Female
Enumeration Date 07/16/2007
Last Updated 07/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1305 MARTIN LUTHER KING JR BLVD
BARTOW FL, 33830-5850, US
Phone (813) 416-5159
Fax
Business Location
1305 MARTIN LUTHER KING JR BLVD
BARTOW FL, 33830-5850, US
Phone (813) 416-5159
Fax
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Sharon D Martin ITDS NPI is 1417156720, taxonomy code is 222Q00000X Sharon D Martin ITDS physically located at 1305 Martin Luther King Jr Blvd, Bartow FL, 33830-5850. NPI Number Sharon D Martin ITDS has the Individual type.

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1417156720 NPI number is provided on an as is basis without warranty of any kind. 1417156720 is maintained by the National Plan & Provider Enumeration System. The contents of Sharon D Martin ITDS are for informational purposes only.