Individual
MRS. COLLEEN MARIE MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS/MSPT
Contact information
Practice address
55 MELROY AVE, BUFFALO, NY 14218-1658
(716) 819-5036
(716) 819-5099
Mailing address
55 MELROY AVE, BUFFALO, NY 14218-1658
(716) 819-5036
(716) 819-5099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014257-1
NY
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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