Dr. Martine Rose Wallenberg's National Provider Identifier (NPI) Details
Dr. Martine Rose Wallenberg, MS, Ed.D
NPI: 1184270621
Enumeration Date: 2019-08-12
Last updated: 2023-11-27
Sole Proprietor: YES
Status: active
Postal Address: 315 PHEASANT RD, SATSUMA, FL
Phone: 386-559-2323
Primary Practice Address: 2400 S RIDGEWOOD AVE, SOUTH DAYTONA, FL
Practice's phone: 386-631-8270