Individual
ROBERT M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
428 N IMPERIAL AVE, EL CENTRO, CA 92243-2329
(760) 353-3422
(760) 353-9163
Mailing address
428 N IMPERIAL AVE, EL CENTRO, CA 92243-2329
(760) 353-3422
(760) 353-9163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 9355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT 9355
STATE OF CALIFORNIA PHYSICAL THERAPY BOARD
CA
Enumeration date
08/10/2011
Last updated
08/10/2011
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