Individual
LISA FARMER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 US HIGHWAY 158, STOKESDALE, NC 27357-9346
(336) 643-6301
Mailing address
7700 US HIGHWAY 158, STOKESDALE, NC 27357-9346
(336) 643-6301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4824
NC
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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