EDMUNDO SIMON MARTINEZ III

SANTA ROSA, CA
NPI1497063564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  4140)
Enumeration Date2010-09-22
Last Update Date2010-09-22
Business Address
MR. EDMUNDO SIMON MARTINEZ III OTR
5555 MONTGOMERY DR.
SANTA ROSA, CA 95409
Phone number: 707-579-6972
Mailing Address
MR. EDMUNDO SIMON MARTINEZ III OTR
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200