Individual
MICHAEL JET MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16260 VENTURA BLVD STE 600, ENCINO, CA 91436-4604
(818) 986-1977
Mailing address
17133 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344-4158
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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