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Individual

MRS. TIFFANY LYNETTE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(626) 622-2420
Mailing address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(626) 622-2420

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
CA

Other

Enumeration date
06/23/2021
Last updated
06/23/2021
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