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NPI Code Detail

MEDICARE: JANELLE M. MARTINEZ DPT

MEDICARE: JANELLE M. MARTINEZ DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist22635MD

General Provider Information

NPI Number : 1740446780
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE M. MARTINEZ DPT
Provider Business Mailing Address
First Line : 3901 NATIONAL DR
Second Line : STE 100
City : BURTONSVILLE
State : MD
Zip : 20866-1176
Country : US
Telephone Number : 240-678-8428
Fax Number :
Provider Business Practice Location Address
First Line : 3901 NATIONAL DR
Second Line : STE 100
City : BURTONSVILLE
State : MD
Zip : 20866-1176
Country : US
Telephone Number : 301-421-1125
Fax Number : 301-500-2175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2008
Last Update Date : 04/26/2019

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Directions to “ JANELLE M. MARTINEZ DPT” Practice Location

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