Individual
CECILIA S MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1514 OWENS ST, GADSDEN, AL 35904-4938
(256) 543-1030
Mailing address
1514 OWENS ST, GADSDEN, AL 35904-4938
(256) 543-1030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5974
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA5974
PHYSICAL THERAPIST ASSISTANT
AL
Enumeration date
09/07/2021
Last updated
09/07/2021
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