Martin, Jill

Martin, Jill is an sole proprietor health care provider with primary practice located at 15425 Manchester Rd , Ballwin MO 63011-3077. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Martin, Jill can be contacted via phone (636) 220-6969.

Contact Information

Primary practice address
15425 Manchester Rd Ballwin MO 63011-3077
Phone: (636) 220-6969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2012028527 Missouri

Profile Details

NPI number 1932660024
LBN Legal business name Martin, Jill
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2019
Last updated Mar 29th, 2019 - about 6 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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