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1528667920
ANDY TY MARTINEZ
BROKEN ARROW, OK
NPI
1528667920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 5491)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
ANDY TY MARTINEZ OTR/L
2221 W DETROIT ST
BROKEN ARROW, OK 74012-3628
Phone number: 918-615-6492
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Mailing Address
ANDY TY MARTINEZ OTR/L
2221 W DETROIT ST
BROKEN ARROW, OK 74012-3628
Phone number: 918-615-6492
Copy
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