Individual
JESSE MARTIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5850 S PINE ISLAND RD, DAVIE, FL 33328-5933
(954) 800-5826
Mailing address
5850 S PINE ISLAND RD, DAVIE, FL 33328-5933
(786) 583-8591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29005
FL
Other
Enumeration date
09/13/2021
Last updated
03/10/2022
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