RYAN KYLE MARTIN

PERFORMANCE PHYSICAL THERAPY PC

Dr RYAN KYLE MARTIN is a male medical professional, specializing in Physical Therapy. He graduated in 2015.

Contact

PERFORMANCE PHYSICAL THERAPY PC

10 CANALVIEW MALL C
FULTON
NY
130691769

Tel: 3155938786

RYAN KYLE MARTIN Information

Npi 1588032205
Pac Id 5496063471
Professional Enrollment Id I20150925000331
Last Name MARTIN
First Name RYAN
Middle Name KYLE
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PERFORMANCE PHYSICAL THERAPY PC
Group Practice Pac Id 2062301831
Number Of Group Practice Members 4
Line 1 Street Address 10 CANALVIEW MALL C
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FULTON
State NY
Zip Code 130691769
Phone Number 3155938786
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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