Individual
VICTOR HUGO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1957 ALVIN RICKEN DRIVE, POCATELLO, ID 83201
(208) 227-4252
Mailing address
1957 ALVIN RICKEN DR, POCATELLO, ID 83201-2727
(208) 235-7800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-3201
ID
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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