Individual
MONIQUE THERESE MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
32080 NW MEADOW DR, NORTH PLAINS, OR 97133-2012
(617) 957-4902
Mailing address
32080 NW MEADOW DR, NORTH PLAINS, OR 97133-2012
(617) 957-4902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006034
VA
225X00000X
Occupational Therapist
Primary
310375
OR
225X00000X
Occupational Therapist
OT60555389
WA
Other
Enumeration date
05/25/2015
Last updated
01/26/2021
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