Individual
NICOLE MONTOYA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 W BURDA PL, NEW CITY, NY 10956-1548
(845) 459-9485
Mailing address
89 W BURDA PL, NEW CITY, NY 10956-1548
(845) 459-9485
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010131-01
NY
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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