Individual
TREVA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5747 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3684
(719) 201-4759
(719) 888-1619
Mailing address
5877 UNCOMPAHGRE ST, COLORADO SPRINGS, CO 80923-3422
(831) 277-0372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015293
CO
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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