Individual
AILEEN MIRIAM MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
141 SW 94TH TER, PLANTATION, FL 33324-2431
(954) 701-0528
(954) 473-6021
Mailing address
8116 NW 17TH MNR, PLANTATION, FL 33322-5457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 13861
FL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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