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Individual

MRS. MARINA CHANG MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3601 GRAPEVINE MILLS PKWY APT 1916, GRAPEVINE, TX 76051-1973
(586) 883-0319
Mailing address
27676 PIERCE ST, SOUTHFIELD, MI 48076-3568
(586) 883-0319

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
114418
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201007009
MI

Other

Enumeration date
10/18/2011
Last updated
10/18/2011
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