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NPI Code Detail

MEDICARE: MR. PAUL HOWARD MARTINES JR. MPT

MEDICARE:  MR. PAUL HOWARD MARTINES JR. MPT
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 Therapist23974CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00193757OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1607749100OTHERCAUS DOL
20PT239740OTHERCABLUE SHIELD

General Provider Information

NPI Number : 1386632958
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL HOWARD MARTINES JR. MPT
Provider Business Mailing Address
First Line : 701 W CENTER AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6015
Country : US
Telephone Number : 559-713-6806
Fax Number : 559-713-6809
Provider Business Practice Location Address
First Line : 1653 N SCHNOOR AVE STE 107
Second Line :
City : MADERA
State : CA
Zip : 93637-3613
Country : US
Telephone Number : 559-831-2050
Fax Number : 559-660-5341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 01/13/2021

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Directions to “ MR. PAUL HOWARD MARTINES JR. MPT” Practice Location

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