Most Relevant Information
Provider Data
| NPI Number: | 1003297672 |
| Provider Name: | JASON MARTINEZ PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 40QA01599800 |
Most Important Dates
| Enumeration Date: | 06/09/2015 |
| Last Updated: | 06/09/2015 |
Provider Practice Location
615 MAIN AVE
SECOND FLOOR
PASSAIC
NJ
070554920
Practice Location Phone/Fax
| Phone: | 9734735600 |
| Fax: |
Provider Mailing Location
1360 CLIFTON AVE
#345
CLIFTON
NJ
070121453
Provider Mailing Phone/Fax
| Phone: | 9739283590 |
| Fax: |