Individual
DIVINAGRACIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 JOHN M REED RD, LIMESTONE, TN 37681-2681
(423) 257-2141
Mailing address
124 JOHN M REED RD, LIMESTONE, TN 37681-2681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3428
TN
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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