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Individual
MR. LUIS MARTINEZ
Active
Individual
MR. LUIS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110662
LICENSE
TX
Enumeration date
01/29/2007
Last updated
04/10/2009
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