Individual
CAROLINE LIZZETTE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
896 ROSE AVE E, SAINT PAUL, MN 55106-2625
(651) 484-3378
Mailing address
896 ROSE AVE E, SAINT PAUL, MN 55106-2625
(651) 484-3378
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1946
MN
Other
Enumeration date
08/04/2015
Last updated
05/06/2020
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