Individual
MRS. LISA ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
225 E WARD ST, GOLIAD, TX 77963-4006
(361) 645-8902
(361) 645-8689
Mailing address
216 GOLIAD N, GOLIAD, TX 77963-3446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209452
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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