Jerry Martinez, COTA

NPI #1003269440 in Alton, Texas

Provider Information

NPI Number: 1003269440
Entity Type: Individual
Name: Jerry Martinez, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: COTA
Enumeration Date: Jul 21, 2016
Last Updated: Jul 21, 2016

Practice Location

Address: 921 E MAIN AVE STE 5
City: Alton
State: Texas
ZIP Code: 78573-1606
Phone: (956) 519-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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