Laura Patterson Martin, PT

Individual provider Active NPI Physical Therapist · Gaffney, SC

NPI 1649445933 · NPPES record last updated Apr 28, 2008

Key facts

NPI
1649445933
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2548 (SC)
Practice address
1790 Ford Rd
Gaffney, SC 29340-5325
Phone
(864) 488-0670
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2548SCMDHome Health Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2548 SC Yes

Addresses

Primary practice location

1790 Ford Rd
Gaffney, SC 29340-5325

Mailing address

1790 Ford Rd
Gaffney, SC 29340-5325
Phone (864) 488-0670

Other providers in Gaffney, SC

All providers in Gaffney, SC · Physical Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.