Individual
AMANDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 SW 89TH ST STE A, OKLAHOMA CITY, OK 73159-6312
(405) 703-8424
Mailing address
9516 S SHIELDS BLVD APT 62, MOORE, OK 73160-3110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1501
OK
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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