Individual
VANESSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
CALLE ANTARES FC-4 SECCION 12, URBANISACION IRLANDA HEIGHTS, BAYAMON, PR 00956
(787) 459-5749
Mailing address
CALLE ANTARES FC-4 SECCION 12, URBANISACION IRLANDA HEIGHTS, BAYAMON, PR 00956
(787) 459-5749
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
973
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000973
NUM. LICENCIA 000973
PR
Enumeration date
10/21/2008
Last updated
10/21/2008
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