Individual
RENCH MEL CRUZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
710 W COLUMBIA ST, LONG BEACH, CA 90806-1426
(562) 673-8555
Mailing address
710 W COLUMBIA ST, LONG BEACH, CA 90806-1426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5597
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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