Individual
JESUS PEDRO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CSCS
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-7081
(956) 793-1597
Mailing address
8637 GAFFNEY ST, FORT MEADE, MD 20755-1503
(956) 793-1597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1335951
TX
Other
Enumeration date
11/10/2021
Last updated
08/10/2023
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