Individual
MS. ANDREA MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3699 WILSHIRE BL, LOS ANGELES, CA 90010
(323) 783-0792
(323) 783-7409
Mailing address
5473 7TH AVE, LOS ANGELES, CA 90043-2513
(323) 299-1991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8711
CA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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