Individual
YVETTE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
8717 VENICE BLVD, LOS ANGELES, CA 90034-3216
(310) 337-7115
Mailing address
8717 VENICE BLVD, LOS ANGELES, CA 90034-3216
(310) 337-7115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
14019
CA
225XP0200X
Pediatric Occupational Therapist
Primary
14019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BWNCQXF
ABC
CA
Enumeration date
05/25/2012
Last updated
03/01/2017
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