Individual
ISELA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 S MAIN ST, CORONA, CA 92882-5303
(951) 273-7742
Mailing address
1504 S MAIN ST, CORONA, CA 92882-4956
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52696
CA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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