Individual
ANTHONY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 CARMEN LN STE A, SANTA MARIA, CA 93458-7768
(805) 709-6901
Mailing address
124 CARMEN LN STE A, SANTA MARIA, CA 93458-7768
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/16/2025
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