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NPI Code Detail

MEDICARE: JENNIFER MARTLING PTA

MEDICARE: JENNIFER MARTLING PTA
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 AssistantAT-10266CA

General Provider Information

NPI Number : 1689081622
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MARTLING PTA
Provider Business Mailing Address
First Line : 2780 26TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1911
Country : US
Telephone Number : 510-536-1838
Fax Number :
Provider Business Practice Location Address
First Line : 2780 26TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1911
Country : US
Telephone Number : 510-536-1838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2014
Last Update Date : 07/22/2014

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Directions to “ JENNIFER MARTLING PTA” Practice Location

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