Individual
MIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
134 MAIN STREET EXT STE 100, MIDDLETOWN, CT 06457-3813
(860) 740-3087
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13379
CT
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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