Provider Demographics
NPI:1750268538
Name:MARTINEZ, OLGA BETTY (OTA)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:BETTY
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 SWALLOW DR APT 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4460
Mailing Address - Country:US
Mailing Address - Phone:786-651-0498
Mailing Address - Fax:
Practice Address - Street 1:221 SW 64TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3149
Practice Address - Country:US
Practice Address - Phone:786-760-4274
Practice Address - Fax:786-460-8400
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18421224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty