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Martin Aurelio, OTR/L
Military Health Care Provider in American Canyon, California
NPI 1275701401

Martin Aurelio is a Military Health Care Provider based in American Canyon, CA. Martin Aurelio practices in American Canyon, CA and has the professional credentials of OTR/L. The NPI Number for Martin Aurelio is 1275701401 and holds a License No. OT- 2047 (California).

The current practice location address for Martin Aurelio is 101 W American Canyon Rd Ste 580-279, American Canyon, CA and can be reached out via phone at 707-853-0315.

Location: 101 W American Canyon Rd Ste 580-279, American Canyon, CA, 94503-1162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275701401
Provider Name
Martin Aurelio
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
101 W American Canyon Rd Ste 580-279, American Canyon, CA, 94503-1162
Phone Number
707-853-0315
Fax Number
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2047 01 CA OT LICENSE
977501 01 NBCOT
2047 01 CA CALIFORNIA OT LICENSE
institution
Provider Business Practice Location Address Details
Address
101 W American Canyon Rd Ste 580-279
City
American Canyon
State
California
Zip
94503-1162
Phone Number
707-853-0315
Fax Number
person
Provider Business Mailing Address Details
Address
101 W American Canyon Rd Ste 580-279
City
American Canyon
State
California
Zip
94503-1162
Phone Number
707-853-0315
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
OT- 2047 (California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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