Individual
MARTIN AURELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
101 W AMERICAN CANYON RD STE 580-279, AMERICAN CANYON, CA 94503-1162
(707) 853-0315
Mailing address
101 W AMERICAN CANYON RD STE 580-279, AMERICAN CANYON, CA 94503-1162
(707) 853-0315
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
OT- 2047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047
OT LICENSE
CA
01
—
977501
NBCOT
—
Enumeration date
02/11/2008
Last updated
04/02/2010
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