Individual
BRENDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12503 BRYCE CIR, CERRITOS, CA 90703-8334
(323) 842-6839
Mailing address
12503 BRYCE CIR, CERRITOS, CA 90703-8334
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3343
CA
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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