Individual
SAMANTHA ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 LASER RD NE, RIO RANCHO, NM 87124-4517
(505) 962-1242
Mailing address
500 LASER RD NE, RIO RANCHO, NM 87124-4517
(505) 962-1242
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22056
NM
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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