NPI 1396471397
Kelly Martin
Practice location
- Address
- 3335 S Crater Rd, Petersburg, VA 23805-9396
- Phone
- (805) 201-5111
- Mailing address
- 267 Anzio Rd APT a, Fort Lee, VA 23801-1392
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1396471397
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Aug 2022
- Record last updated
- 1 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.