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Individual

MARTAVIUS COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119-009477
VA
225X00000X
Occupational Therapist
Primary
10414
MD
225X00000X
Occupational Therapist
122933
TX

Other

Enumeration date
05/11/2022
Last updated
08/11/2025
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