Individual
MRS. GRACE ISABEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4503 S SUGAR RD, EDINBURG, TX 78539-7049
(956) 386-1112
Mailing address
1905 UPLAND DR APT 1, EDINBURG, TX 78539-2462
(956) 292-6681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116124
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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