Individual
STEPHANIE NICOLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6833 KENTON PL, EASTVALE, CA 92880-3789
(626) 780-5944
Mailing address
6833 KENTON PL, EASTVALE, CA 92880-3789
(626) 780-5944
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7262
CA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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