Individual
MRS. MARY KATIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 TOMOKA BLVD S, LAKE PLACID, FL 33852-8123
(863) 465-7200
Mailing address
125 TOMOKA BLVD S, LAKE PLACID, FL 33852-8123
(863) 465-7200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12922
FL
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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