Individual
JAKE MICHAEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 GARDEN VIEW CT STE 103, ENCINITAS, CA 92024-2478
(760) 632-6942
Mailing address
6102 AVENIDA ENCINAS, STE E, CARLSBAD, CA 92011-1005
(760) 692-5142
(760) 634-9752
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
07/27/2016
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