Individual
ELIZBETH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 E NAVARRO AVE, DE LEON, TX 76444-1275
(254) 893-2075
Mailing address
1000 E LINGLEVILLE RD APT 517, STEPHENVILLE, TX 76401-2128
(870) 279-4330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215067
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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