Individual
NICOLE JESSICA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3528 TORRANCE BLVD STE 100, TORRANCE, CA 90503-4826
(310) 325-7404
Mailing address
3528 TORRANCE BLVD STE 100, TORRANCE, CA 90503-4826
(310) 325-7404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50815
CA
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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