Individual
MARISSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 E SOUTHERN AVE STE 111, MESA, AZ 85209-2791
(480) 832-9308
(480) 807-1782
Mailing address
7205 E SOUTHERN AVE, STE 111, MESA, AZ 85209-2791
(480) 821-1997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30819
AZ
Other
Enumeration date
08/08/2019
Last updated
05/24/2023
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