Individual
AIDA IRENE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
46 TEMPLE LN, SUFFERN, NY 10901-6220
(845) 558-0672
Mailing address
46 TEMPLE LN, SUFFERN, NY 10901-6220
(845) 558-0672
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0167281
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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