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Individual
ROBERT MARTINEZ
Active
Individual
ROBERT MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206905
WA DEPT OF LABOR
WA
01
—
P00279574
RR MEDICARE
CA
01
—
WPT30065A
MEDICARE PTAN
CA
Enumeration date
12/05/2005
Last updated
01/08/2008
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