Individual
ERNESTO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3019 GRAND AVE, WALNUT PARK, CA 90255-6228
(323) 583-6691
Mailing address
3019 GRAND AVE, WALNUT PARK, CA 90255-6228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1052095
OR
225X00000X
Occupational Therapist
OC019971
PA
225X00000X
Occupational Therapist
OT.61520661
WA
225X00000X
Occupational Therapist
Primary
OT4089
CA
225X00000X
Occupational Therapist
OTL15232
MA
Other
Enumeration date
05/19/2011
Last updated
06/14/2024
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