GREGORY LUIS MARTIN

SAN DIEGO, CA
NPI1912450891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT 10877)
Enumeration Date2016-07-27
Last Update Date2016-07-27
Business Address
-- GREGORY LUIS MARTIN PTA
4060 FOURTH AVE STE 206
SAN DIEGO, CA 92103-2120
Phone number: 619-299-5246
Mailing Address
-- GREGORY LUIS MARTIN PTA
1812 REED AVE
SAN DIEGO, CA 92109-5476
Phone number: 916-719-5690
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