Doctor Name: | MRS. STACY G MARTINEZ |
NPI Number: | 1285730564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT, MTC |
License Number: | PT 18581 |
Business Practice Address: | 2700 W Dr Martin Luther King Jr Blvd Suite 300 Tampa, FL - 336076386 |
Business Phone Number: | 8138771930 |
Business Fax Number: | 8138771938 |
Mailing Address: | 2700 W Dr Martin Luther King Jr Blvd, Suite 300 TAMPA |
State: | FL |
Postal Code: | 336076386 |
Phone Number: | 8138771930 |
Fax Number: | 8138771938 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 18581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |