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Individual
PATRICIA DONOVAN MARTINEZ
Active
Individual
PATRICIA DONOVAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13313
CA
2251X0800X
Orthopedic Physical Therapist
PT13313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ07609Z
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
02/12/2007
Last updated
10/19/2007
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