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NPI Code Detail

MEDICARE: CLARISSA DEL CARMEN MARTINEZ

MEDICARE: CLARISSA DEL CARMEN MARTINEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT2749FL

General Provider Information

NPI Number : 1841564879
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARISSA DEL CARMEN MARTINEZ
Provider Business Mailing Address
First Line : 100 MEADOWLARK DR
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-2969
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5065 WALLIS RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-1947
Country : US
Telephone Number : 561-689-1799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2012
Last Update Date : 03/08/2012

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Directions to “ CLARISSA DEL CARMEN MARTINEZ ” Practice Location

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