Individual
MRS. LAURA ISABEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1208 S BRIDGE AVE, WESLACO, TX 78596-7906
(956) 969-3130
Mailing address
318 MOCKINGBIRD LN, MERCEDES, TX 78570-4969
(956) 463-3909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210226
TX
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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