Individual
ELIZABETH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
600 CAMINO ESPANOL NW, ALBUQUERQUE, NM 87107-5817
(505) 250-5204
Mailing address
600 CAMINO ESPANOL NW, ALBUQUERQUE, NM 87107-5817
(505) 250-5204
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3064
NM
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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