Individual
MRS. ELIZABETH GAIL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(530) 391-8670
Mailing address
3532 STARVIEW DR, CAMINO, CA 95709-9723
(916) 533-1573
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12072
CA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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