Individual
ANISLEY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
140 NW 87TH AVE, APT G 220, MIAMI, FL 33172-4584
(308) 308-0889
Mailing address
140 NW 87TH AVE, APT G 220, MIAMI, FL 33172-4584
(305) 308-0889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18988
FL
225XP0200X
Pediatric Occupational Therapist
18988
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100978100
—
FL
Enumeration date
03/18/2011
Last updated
11/16/2018
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