Individual
JENNIFER MARIE MARTINC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16102 N. FLORIDA AVENUE, LUTZ, FL 33549
(813) 873-1936
Mailing address
9730 LAKE CHASE ISLAND WAY, TAMPA, FL 33626
(216) 323-6405
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
OTA11831
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA11831
FL
225X00000X
Occupational Therapist
OT17869
FL
Other
Enumeration date
08/23/2011
Last updated
10/27/2016
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