Individual
ALYSSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 METROPOLITAN DR, SAN DIEGO, CA 92108-4411
(619) 692-0622
Mailing address
7525 METROPOLITAN DR, SAN DIEGO, CA 92108-4411
(619) 692-0622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
225X00000X
Occupational Therapist
Primary
21724
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2018
Last updated
03/16/2021
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