Individual
TRICIA MARTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9466 BLACK MOUNTAIN RD, SAN DIEGO, CA 92126-4550
(858) 689-2027
(858) 397-2172
Mailing address
9466 BLACK MOUNTAIN RD, SAN DIEGO, CA 92126-4550
(858) 689-2027
(858) 397-2172
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA1649
OTA
CA
Enumeration date
01/17/2018
Last updated
06/11/2019
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