Individual
LAURA RUBI MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 REDSKIN AVE STE A, DONNA, TX 78537
(956) 956-4612
Mailing address
508 N LOS EBANOS RD, MISSION, TX 78572-4810
(956) 222-4531
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780619031
—
TX
Enumeration date
08/02/2018
Last updated
08/13/2018
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