Individual
JESSICA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 W LA VETA AVE APT 154, ORANGE, CA 92866-2655
(714) 365-5164
Mailing address
401 W LA VETA AVE APT 154, ORANGE, CA 92866-2655
(714) 365-5164
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20689
CA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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