AMANDA MARYELLEN MARTIN

TEMECULA, CA
NPI1316210933
Former NameAMANDA MARYELLEN DEKOKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 38573)
Enumeration Date2012-02-13
Last Update Date2025-05-23
Business Address
AMANDA MARYELLEN MARTIN PT, DPT
32605 TEMECULA PKWY STE 103
TEMECULA, CA 92592-6838
Phone number: 951-331-3660
Mailing Address
AMANDA MARYELLEN MARTIN PT, DPT
23100 EUCALYPTUS AVE STE C
MORENO VALLEY, CA 92553-5439
Phone number: 951-379-1500