Individual
JOHN BOSCO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11800 W 49TH AVE, WHEAT RIDGE, CO 80033-2176
(303) 463-1382
(303) 423-1609
Mailing address
946 S MONTEROSA DR, PUEBLO WEST, CO 81007-6120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5496
CO
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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