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1760601678
MICHAEL MARTINEZ
ORLAND PARK, IL
NPI
1760601678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160004655)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- MICHAEL MARTINEZ PTA
16170 KINGSPORT RD
ORLAND PARK, IL 60467-5602
Phone number: 708-349-6544
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Mailing Address
-- MICHAEL MARTINEZ PTA
2934 DESPLAINES AVE
RIVERSIDE, IL 60546-1852
Phone number: 708-349-6544
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