Individual
MARIAM IVETTE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
801 N ORANGE AVE STE 610, ORLANDO, FL 32801-5202
(407) 236-7155
(407) 236-7441
Mailing address
801 N ORANGE AVE STE 610, ORLANDO, FL 32801-5202
(407) 236-7155
(407) 236-7441
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10419
FL
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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