Individual
MRS. LISA A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
1932 SE 15TH ST, HOMESTEAD, FL 33035-2613
(786) 897-4277
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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