Individual
JOHANA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 PEARL CIR, BRANDON, FL 33510-4246
(813) 391-0235
(813) 655-4814
Mailing address
1859 GRAND BAY CIR APT 204, LAKELAND, FL 33810-1918
(863) 272-0752
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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