Ethan Martinez

NPI #1104786268 in Woodridge, Illinois

Provider Information

NPI Number: 1104786268
Entity Type: Individual
Name: Ethan Martinez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 12, 2025
Last Updated: Nov 12, 2025

Practice Location

Address: 6410 ROUTE 53 STE 300
City: Woodridge
State: Illinois
ZIP Code: 60517-1361
Phone: (331) 775-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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