Hadriano Standre Martin, PT, DPT
Physical Therapist in San Jose, CA. Individual provider (NPI-1).
NPI number1093345142
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1093345142
- Entity type
- Individual (NPI-1)
- Name
- Hadriano Standre Martin
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2020
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT296486 | CA | Yes |
Practice location
250 Hospital PkwySan Jose, CA 95119-1103
Phone 408-972-3000
Mailing address
2900 Charlevoix Dr Se Ste 200Grand Rapids, MI 49546-7086
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