Individual provider · NPI-1

Carmen M Martinez, OTR

Health Educator · Newark, NJ

NPI number1780966457
StatusActive
Last updated in NPPESSep 19, 2011

Details

NPI
1780966457
Entity type
Individual (NPI-1)
Name
Miss Carmen M Martinez
Credential
OTR
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 19, 2011
Last updated
Sep 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174H00000X Health Educator46TR00150100NJYes

Practice location

65 Bergen St
Newark, NJ 07107-3001

Phone 973-972-4276

Mailing address

165 Stephens St
Belleville, NJ 07109-3140

Phone 973-855-9711

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