Individual
KATIE CHIRSTINE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
628 S PEACE RD, SYCAMORE, IL 60178-1642
(815) 557-8575
Mailing address
628 S PEACE RD, SYCAMORE, IL 60178-1642
(815) 557-8575
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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