Individual
SARA RENAE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1461 MERRITT DR, EL CAJON, CA 92020-7862
(858) 945-3243
Mailing address
9908 KIKA CT APT 822, SAN DIEGO, CA 92129-5008
(602) 499-8548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4987
CA
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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