Individual
DOMINIC JACOB MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
215 E 1ST ST, DIXON, IL 61021-3166
(815) 285-5591
Mailing address
314 MARCLARE ST # 314, DIXON, IL 61021-1145
(505) 879-9485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070025944
IL
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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