Individual
SIERRA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1749 N WILLIAMSON VALLEY RD, PRESCOTT, AZ 86305-5219
(928) 717-3263
Mailing address
300 E GURLEY ST, PRESCOTT, AZ 86301-3823
(928) 717-3236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-050047
AZ
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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