Individual
GREGORY S MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
3665 S 8400 W, STE 210, MAGNA, UT 84044-4907
(801) 250-6733
(801) 250-5038
Mailing address
3665 S 8400 W, STE 210, MAGNA, UT 84044-4907
(801) 250-6733
(801) 250-5038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5748882-2401
UT
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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