Individual
MR. ADRIAN MARTIN ASENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTL/R
Contact information
Practice address
820 E. ENOS DR., SANTA MARIA, CA 93454
(805) 928-8257
(805) 349-7206
Mailing address
820 E. ENOS DR., SANTA MARIA, CA 93454
(805) 928-8257
(805) 349-7206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT5725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT5725
STATE LICENSE NUMBER
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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