Individual
STEPHEN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
466 DEVONSHIRE GLEN, ESCONDIDO, CA 92027
(760) 803-5765
Mailing address
466 DEVONSHIRE GLN, ESCONDIDO, CA 92027-2984
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48594
CA
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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