-- MARTIN EDWARD SUDAR -- LPTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1407053796- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPTA
- Status
- Active
Contact & Location
- Address
- 3814 BOTTICELLI ST, LAKE OSWEGO, OR, 970351303
- Phone
- (503) 699-8128
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #7928