Individual
MIKAH VICTORIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6738 SHARPCREST ST, HOUSTON, TX 77074-6214
(979) 318-9626
Mailing address
323 BIRCH ST, WALLIS, TX 77485-9395
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216177
TX
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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