Individual
DORA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
3726 W 66TH ST, CHICAGO, IL 60629-4733
(773) 592-4876
Mailing address
3726 W 66TH ST, CHICAGO, IL 60629-4733
(773) 592-4876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023316
IL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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