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Individual

MICAELA LUISA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
711 W BROADWAY ST, DENVER CITY, TX 79323-3000
(817) 542-5493
Mailing address
1204 ASPEN DR APT D, ANDREWS, TX 79714-3841
(309) 756-7331

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2159576
TX

Other

Enumeration date
01/14/2021
Last updated
01/14/2021
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