Individual
SARA E MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
100 SAN CARLOS RD, PUEBLO, CO 81005-2651
(719) 564-2370
(303) 484-8747
Mailing address
900 W 17TH ST, PUEBLO, CO 81003
(719) 948-7910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012484
CO
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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