Individual
LAURA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 WITTINGTON PL, STE 175, DALLAS, TX 75234-1927
(866) 221-5405
Mailing address
629 S LEWIS ST, BLOOMFIELD, IN 47424-1570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10357
NC
225X00000X
Occupational Therapist
Primary
31005483A
IN
Other
Enumeration date
11/19/2016
Last updated
11/19/2016
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