Patricia Donovan Martinez in Sebastopol - Orthopedic
Patricia Donovan Martinez - NPI 1326180175
Patricia Donovan Martinez is a Orthopedic in Sebastopol, California. Patricia Donovan Martinez practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Patricia Donovan Martinez is 1326180175. The last update date is 2007-10-19.
Patricia Donovan Martinez's current location address is Po Box 1355, Sebastopol, California. You can contact this provider via phone number 7078293282 and fax number 7078293287. The mailing address for Patricia Donovan Martinez is Po Box 1355, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Donovan Martinez |
|---|---|
| Address | Po Box 1355, Sebastopol, California |
| Phone Number | 7078293282 |
| Fax Number | 7078293287 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1326180175 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-10-19 |
Provider Mailing Address Detail
| Address | Po Box 1355 |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 954731355 |
| Phone Number | 7078293282 |
| Fax Number | 7078293287 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT13313 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ07609Z | CA | BLUE SHIELD PROVIDER NUMB |
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What is the unique identifier code issued to Patricia Donovan Martinez by the Centers for Medicare & Medicaid Services?
The Patricia Donovan Martinez has been assigned the NPI (National Provider Identifier) 1326180175. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Patricia Donovan Martinez located?
The Patricia Donovan Martinez is located at Po Box 1355, Sebastopol, CA 954731355.
What is the Patricia Donovan Martinez's area of specialization and corresponding taxonomy classification?
The Patricia Donovan Martinez's specialty field is Orthopedic, and it falls under the taxonomy code 2251X0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1326180175 to Patricia Donovan Martinez?
The Centers for Medicare & Medicaid Services assigned the 1326180175 to Patricia Donovan Martinez on 2007-02-12.
As of what date were the Patricia Donovan Martinez's details last updated?
The information pertaining to the Patricia Donovan Martinez, including its address, specialty, and other details, was most recently updated on 2007-10-19.