Provider Demographics
NPI:1295899557
Name:MARTIN, ERROL R (RPT)
Entity type:Individual
Prefix:
First Name:ERROL
Middle Name:R
Last Name:MARTIN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 OAKVIEW RD
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-2613
Mailing Address - Country:US
Mailing Address - Phone:727-934-8875
Mailing Address - Fax:727-938-4621
Practice Address - Street 1:965 OAKVIEW RD
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-2613
Practice Address - Country:US
Practice Address - Phone:727-934-8875
Practice Address - Fax:727-938-4621
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 8489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist