Organization
MOUNTAIN KIDZ THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MARTINEZ PT, DPT (PT)
(520) 275-2935
Entity
Organization
Contact information
Practice address
2861 W HARE DR, FLAGSTAFF, AZ 86001-2584
(520) 275-2935
Mailing address
2861 W HARE DR, FLAGSTAFF, AZ 86001-2584
(520) 275-2935
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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