Healthcare Provider Details

I. General information

NPI: 1902731193
Provider Name (Legal Business Name): SABRINA MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 GRAFTON RD
TOWNSHEND VT
05353-8820
US

IV. Provider business mailing address

182 SKIPPERENE RD
NARROWSBURG NY
12764-5339
US

V. Phone/Fax

Practice location:
  • Phone: 802-365-7357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number040.0135074PROV
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: