Individual
JOANA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRT
Contact information
Practice address
5540 S 1050 E, SOUTH OGDEN, UT 84405-7078
(801) 479-8455
Mailing address
5540 S 1050 E, SOUTH OGDEN, UT 84405-7078
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
131038414003
UT
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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