Individual
CHRISTINE M MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1925 CHERRYWOOD ST, VISTA, CA 92081-7360
(760) 518-5924
(760) 518-5924
Mailing address
1925 CHERRYWOOD ST, VISTA, CA 92081-7360
(760) 518-5924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT5350
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT5350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CT0053500
—
CA
01
—
OT0005350
BLUE SHIELD
CA
Enumeration date
07/13/2006
Last updated
11/06/2013
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