Individual
RAEANNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56299 29 PALMS HWY, YUCCA VALLEY, CA 92284-2857
(360) 722-0792
Mailing address
61641 ADOBE DR, JOSHUA TREE, CA 92252-2712
(360) 722-0792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48992
CA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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