Individual
DOMINICK JOSEPH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
19329 LANSDOWNE ST, ORLANDO, FL 32833-3014
(631) 487-5225
Mailing address
19329 LANSDOWNE ST, ORLANDO, FL 32833-3014
(631) 487-5225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14833
FL
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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