Martinez, Dianne L

Martinez, Dianne L is an sole proprietor health care provider with primary practice located at 900 E Division St , Wautoma WI 54982-6944. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Martinez, Dianne L can be contacted via phone (920) 787-6900.

Contact Information

Primary practice address
900 E Division St Wautoma WI 54982-6944
Phone: (920) 787-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 965-19 Wisconsin

Profile Details

NPI number 1023068848
LBN Legal business name Martinez, Dianne L
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Nov 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023068848 NPPES
Wisconsin MEDICAID 100006660

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