Doctor Name: | MARTIN AURELIO |
NPI Number: | 1275701401 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTR/L |
License Number: | OT- 2047 |
Business Practice Address: | 101 W American Canyon Rd Ste 580-279 American Canyon, CA - 945031162 |
Business Phone Number: | 7078530315 |
Business Fax Number: | |
Mailing Address: | 101 W American Canyon Rd Ste 580-279, AMERICAN CANYON |
State: | CA |
Postal Code: | 945031162 |
Phone Number: | 7078530315 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2008 |
NPI Last Update Date: | 04/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | OT- 2047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |