Individual
MRS. ROXANNE ELLEN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
722 S 8TH ST, CANON CITY, CO 81212-4906
(719) 345-4097
(719) 345-4098
Mailing address
722 S 8TH ST, CANON CITY, CO 81212-4906
(719) 345-4097
(719) 345-4098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/12/2011
Last updated
03/12/2011
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