Jacqueline Martinez

NPI #1306346382 in Ponte Vedra, Florida

Provider Information

NPI Number: 1306346382
Entity Type: Individual
Name: Jacqueline Martinez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Feb 16, 2018
Last Updated: Feb 16, 2018

Practice Location

Address: 100 EXECUTIVE WAY
City: Ponte Vedra
State: Florida
ZIP Code: 32082-2715
Phone: (904) 543-9011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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