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Individual

ELLE MARIE MARTIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 HARBOR BEND CT STE 102, LAKE SAINT LOUIS, MO 63367-1480
(636) 695-2075
Mailing address
7329 BRUNSWICK AVE, SAINT LOUIS, MO 63119-3328
(314) 651-0897

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2024039442
MO

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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