Individual
KELLY E MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/C.
Contact information
Practice address
6960 DESTINY DR STE 117, ROCKLIN, CA 95677-2995
(916) 243-8570
Mailing address
2021 TRIMBLE WAY, SACRAMENTO, CA 95825-2118
(916) 243-8570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA370
CA
Other
Enumeration date
02/14/2008
Last updated
10/06/2008
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