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NPI Code Detail

MEDICARE: MRS. ERICA MARTINEZ

MEDICARE:  MRS. ERICA  MARTINEZ
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
1225200000XPhysical Therapy Assistant23066602971VA

General Provider Information

NPI Number : 1366727604
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERICA MARTINEZ
Provider Business Mailing Address
First Line : 5066 PETRIFIED FOREST TRL
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-2911
Country : US
Telephone Number : 719-203-4259
Fax Number :
Provider Business Practice Location Address
First Line : 5066 PETRIFIED FOREST TRL
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-2911
Country : US
Telephone Number : 719-203-4259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2011
Last Update Date : 10/19/2011

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Directions to “ MRS. ERICA MARTINEZ ” Practice Location

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