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Individual
PAUL IVAN MARTINEZ
Active
Individual
PAUL IVAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR, MOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117107
TX
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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