Individual
MRS. SUSANA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1130 W 32ND ST, HIALEAH, FL 33012-5048
(786) 354-2275
Mailing address
1130 W 32ND ST, HIALEAH, FL 33012-5048
(786) 354-2275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18007
FL
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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