Individual
EDGARDO MARTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2500 N SILVERBELL RD, STE. 150, TUCSON, AZ 85745-7062
(520) 624-2999
(520) 305-4719
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11290A
AZ
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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