Individual
AMANDA MARYELLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
32605 TEMECULA PKWY STE 103, TEMECULA, CA 92592-6838
(951) 331-3660
(951) 331-3661
Mailing address
23100 EUCALYPTUS AVE STE C, MORENO VALLEY, CA 92553-5439
(951) 379-1500
(951) 379-1501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 38573
CA
Other
Enumeration date
02/13/2012
Last updated
05/23/2025
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