Individual
MARIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3712
(414) 762-7336
Mailing address
3722 W ALLERTON AVE, GREENFIELD, WI 53221-2070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3751026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40848200
—
WI
Enumeration date
05/02/2007
Last updated
07/08/2007
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