Individual
ASHLEY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 473-4284
Mailing address
24 DOUGLASS ST, BRENTWOOD, NY 11717-1811
(631) 748-0996
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
174400000X
Specialist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
Primary
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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