Individual
LISA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1715 TOWER DR W STE 330, LAKEVIEW HOMECARE & HOSPICE, STILLWATER, MN 55082-7608
(651) 430-3320
Mailing address
148 4TH ST N, BAYPORT, MN 55003-1159
(702) 400-6808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9722
MN
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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