Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Edmundo Simon Martinez III III, OTR

Individual provider Occupational Therapist · NPI 1497063564

Mr. Edmundo Simon Martinez III III, OTR is an Occupational Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

5555 Montgomery Dr
Santa Rosa, CA 95409
Phone: (707) 579-6972
Fax: (707) 579-6987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4140 (CA)

Record details

NPI number1497063564
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedSeptember 22, 2010
Last updated in NPPESSeptember 22, 2010

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