Individual
NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1010 S 336TH ST, FEDERAL WAY, WA 98003-6385
(253) 835-5769
Mailing address
1010 S 336TH ST, FEDERAL WAY, WA 98003-6385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60717650
WA
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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