Individual
MARIA KATHLEEN SANTOS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
19636 N 27TH AVE STE 106, PHOENIX, AZ 85027-4014
(480) 712-4600
Mailing address
PO BOX 6105, SCOTTSDALE, AZ 85261-6105
(480) 712-4600
(602) 428-7045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10950
AZ
225100000X
Physical Therapist
292139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10950
LICENSED PHYSICAL THERAPIST
AZ
01
—
292139
LICENSED PHYSICAL THERAPIST
CA
Enumeration date
03/06/2020
Last updated
11/15/2021
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