Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Martin

Individual provider Rehabilitation Practitioner · NPI 1912667361

Jacqueline Martin is a Rehabilitation Practitioner in San Dimas, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

762 Cypress St
San Dimas, CA 91773-3505
Phone: (909) 599-1227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1912667361
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2021
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address762 Cypress St, San Dimas, CA 91773-3505

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