Individual
MRS. THERESA MARIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.; M.S.
Contact information
Practice address
13801 E BENSON HWY, VAIL, AZ 85641-9074
(520) 879-3647
Mailing address
13801 E BENSON HWY, VAIL UNIFIED SCHOOL DISTRICT #20, VAIL, AZ 85641-9074
(520) 879-3647
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4687
AZ
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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