Individual
ILEANA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
208 NW 77TH AVE, MARGATE, FL 33063-4704
(954) 682-7633
Mailing address
208 NW 77TH AVE, MARGATE, FL 33063-4704
(954) 682-7633
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10426
FL
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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