Individual
CARLY LINN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-2198
Mailing address
975 SERENO DR, KAISER FOUNDATION REHABILITATION CENTER, VALLEJO, CA 94589-2441
(707) 651-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40332
CA
Other
Enumeration date
06/13/2014
Last updated
01/03/2022
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