Provider Demographics
NPI:1588755763
Name:MARTINUS BELTRAN, ANNEMARIE (OTR)
Entity type:Individual
Prefix:MRS
First Name:ANNEMARIE
Middle Name:
Last Name:MARTINUS BELTRAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:ANNEMARIE
Other - Middle Name:ARLENE
Other - Last Name:MARTINUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:524 BARTON DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-1300
Mailing Address - Country:US
Mailing Address - Phone:956-316-0137
Mailing Address - Fax:
Practice Address - Street 1:1904 TESORO ST
Practice Address - Street 2:THERA-CARE REHAB SERVICES
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-7580
Practice Address - Country:US
Practice Address - Phone:956-283-9442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2009-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110267225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist