Individual
JESICA MAYELI MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
825 S RIVER DR APT 201, TEMPE, AZ 85281-4638
(480) 734-4134
Mailing address
825 S RIVER DR APT 201, TEMPE, AZ 85281-4638
(480) 734-4134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA-047238
AZ
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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