Provider Demographics
NPI:1144986076
Name:MARTINEZ, SARAH M (OT/L)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 AUDUBON DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5815
Mailing Address - Country:US
Mailing Address - Phone:845-421-0761
Mailing Address - Fax:
Practice Address - Street 1:398 COUNTY ROUTE 22
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-8442
Practice Address - Country:US
Practice Address - Phone:845-421-0761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-15
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025969225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty