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Individual
MRS. JEANNIE INEZ MARTINEZ
Active
Individual
MRS. JEANNIE INEZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1181008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020412200001
—
PA
Enumeration date
05/02/2008
Last updated
10/29/2014
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