Individual provider · Type 1 NPI

Edmundo Simon Martinez III Iii, OTR

Occupational Therapist · Santa Rosa, CA

NPI number 1497063564 Active

Practice location

5555 Montgomery Dr.
Santa Rosa, CA 95409

Call (707) 579-6972 Map

Fax (707) 579-6987

Mailing address

4560 SE International Way, Ste. 100
Milwaukie, OR 97222

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4140 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1497063564

Edmundo Simon Martinez III Iii, OTR's National Provider Identifier is 1497063564, issued on Sep 22, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 22, 2010.