Domingo-carlo Disraeli Martinez DPT, CSCS

NPI 1154637387 - Physical Therapist - 225100000X

NPI Details
NPI 1154637387
Gender Male
Enumeration Date 08/25/2010
Last Updated 08/25/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1534 EUCLID ST APT 2
SANTA MONICA CA, 90404-3331, US
Phone (626) 260-4755
Fax
Business Location
1534 EUCLID ST APT 2
SANTA MONICA CA, 90404-3331, US
Phone (626) 260-4755
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 36914
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According to our database, Dr. Domingo-carlo Disraeli Martinez DPT, CSCS NPI is 1154637387, taxonomy code is 225100000X and license number is 36914, license state is located at California. Domingo-carlo Disraeli Martinez DPT, CSCS physically located at 1534 Euclid St Apt 2, Santa Monica CA, 90404-3331. NPI Number Domingo-carlo Disraeli Martinez DPT, CSCS has the Individual type.

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1154637387 NPI number is provided on an as is basis without warranty of any kind. 1154637387 is maintained by the National Plan & Provider Enumeration System. The contents of Domingo-carlo Disraeli Martinez DPT, CSCS are for informational purposes only.