Organization
ADVANCED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J MARTINEZ DSCPT (OWNER)
(419) 626-4162
Entity
Organization
Contact information
Practice address
2500 W STRUB RD STE 150, SANDUSKY, OH 44870-5488
(419) 626-4162
(419) 626-1268
Mailing address
2500 W STRUB RD STE 150, SANDUSKY, OH 44870-5488
(419) 626-4162
(419) 626-1268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0954847
—
OH
05
—
0954865
—
OH
05
—
2135871
—
OH
05
—
2429036
—
OH
05
—
2429438
—
OH
05
—
2471507
—
OH
Enumeration date
02/09/2006
Last updated
10/29/2014
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