NPI 1346300043

Mark Kevin Martin

Practitioner Recreation Therapist Long Beach, CA

Practice location

Address: 1975 Long Beach Blvd, Long Beach, CA 90806-5501
Phone: (562) 218-4091
Fax: (562) 599-3934
Mailing address: 12771 Martha Ann Dr, Los Alamitos, CA 90720-4921

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in California →

Registry record

NPI: 1346300043
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.