| Doctor Name: | AMANDA MARYELLEN MARTIN |
| NPI Number: | 1316210933 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT 38573 |
| Business Practice Address: | 521 E Elder St Suite 106 Fallbrook, CA - 920283081 |
| Business Phone Number: | 7607238337 |
| Business Fax Number: | 7607235476 |
| Mailing Address: | 24630 Washington Ave, Suite 200 MURRIETA |
| State: | CA |
| Postal Code: | 925626177 |
| Phone Number: | 9516969353 |
| Fax Number: | 9519737216 |
| NPI Enumeration Date: | 02/13/2012 |
| NPI Last Update Date: | 03/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 38573 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |