Most Relevant Information
Provider Data
| NPI Number: | 1003074642 |
| Provider Name: | PATRICIA DEMARTINO PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 003086 |
Most Important Dates
| Enumeration Date: | 05/30/2008 |
| Last Updated: | 05/30/2008 |
Provider Practice Location
400 W CUMMINGS PARK
SUITE 3950
WOBURN
MA
018016519
Practice Location Phone/Fax
| Phone: | 7819338800 |
| Fax: |
Provider Mailing Location
40 HEMPSTEAD TPKE
FARMINGDALE
NY
117352026
Provider Mailing Phone/Fax
| Phone: | 5164208929 |
| Fax: |