Individual
JEREMY RICHARD MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9130 STEPHENS MANOR DR, MECHANICSVILLE, VA 23116-5165
(505) 264-2055
Mailing address
9130 STEPHENS MANOR DR, MECHANICSVILLE, VA 23116-5165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605268
VA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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