Individual
MICHAEL PATRICK MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTA0685
NM
225200000X
Physical Therapy Assistant
Primary
PTA0685
NM
Other
Enumeration date
08/22/2022
Last updated
03/19/2024
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