National Provider Identifier

Izabelle Ariannah Martinez

Izabelle Ariannah Martinez is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1730967993Fairport, NYPediatric Physical Therapist

Profile Overview

NPI
1730967993
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
September 19, 2023
Last Updated
September 19, 2023

Practice Location

  • 149 N Main St
  • Fairport, NY 14450-1434

Phone: (585) 377-2230

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1730967993
Entity Type
Individual
Last Name
Martinez
First Name
Izabelle
Middle Name
Ariannah
Mailing Street Address
149 N Main St
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1434
Mailing Country
US
Mailing Phone
(585) 377-2230
Mailing Fax
(585) 377-2243
Practice Street Address
149 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1434
Practice Country
US
Practice Phone
(585) 377-2230
Practice Fax
(585) 377-2243
Enumeration Date
September 19, 2023
Last Updated
September 19, 2023
Sex
Female
Sole Proprietor
No
Certification Date
September 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)