Individual
JASON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
615 MAIN AVE, SECOND FLOOR, PASSAIC, NJ 07055-4920
(973) 473-5600
Mailing address
1360 CLIFTON AVE, #345, CLIFTON, NJ 07012-1453
(973) 928-3590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01599800
NJ
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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