Individual
LUISA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5701 CRESTRIDGE RD, RANCHO PALOS VERDES, CA 90275-4962
(424) 371-7876
Mailing address
5701 CRESTRIDGE RD, RANCHO PALOS VERDES, CA 90275-4962
(310) 377-9977
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50968
CA
Other
Enumeration date
01/18/2021
Last updated
05/08/2021
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