Nicolle Marie Martin
Physical Therapist - Pediatrics
405 E Esplanade Dr Ste 102
Oxnard
, California 93036-2179
Nicolle Marie Martin
Physical Therapist - Pediatrics
405 E Esplanade Dr Ste 102
Oxnard
, California 93036-2179
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Nicolle Marie Martin
- 223 Via Mirabella Apt C
- Newbury Park, CA
- Zip : 91320-7307
- Phone :
Second Address
- Nicolle Marie Martin
- 405 E Esplanade Dr Ste 102
- Oxnard, CA
- Zip : 93036-2179
- Fax : (805) 830-1777
- Phone : (661) 476-7929
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 294041 | CA |
National Provider Identifier
| NPI | 1073015913 |
|---|---|
| Provider Name | Nicolle Marie Martin |
| First Address | Newbury Park, CA 91320-7307 |
| Second Address | Oxnard, CA 93036-2179 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2018 |
| Last Update Date | 07/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.