Individual
REBECCA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, L
Contact information
Practice address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(310) 386-4519
Mailing address
15920 TEMECULA ST, PACIFIC PALISADES, CA 90272-4238
(310) 454-5334
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 4272
CA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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