Individual
AMANDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
602 VONDERBURG DR STE 201, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
4155 YELLOWWOOD DR, VALRICO, FL 33594-5454
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA16216
FL
225X00000X
Occupational Therapist
Primary
OT25032
FL
Other
Enumeration date
03/02/2018
Last updated
03/11/2024
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