Individual
JENNIFER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7405 N CEDAR AVE, 103, FRESNO, CA 93720-3838
(559) 261-4100
(559) 261-4101
Mailing address
7405 N CEDAR AVE, 103, FRESNO, CA 93720-3838
(559) 261-4100
(559) 261-4101
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT17168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6172
MEDICARE RAILROAD GROUP #
CA
01
—
P00084784
MEDICARE RAILROAD IND. #
CA
Enumeration date
09/21/2006
Last updated
09/30/2011
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