Individual
CHARLES STEVEN MARTIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A, QMHP
Contact information
Practice address
200 PINERIDGE LN, CHARLOTTESVILLE, VA 22911-9124
(434) 962-6039
Mailing address
200 PINERIDGE LN, CHARLOTTESVILLE, VA 22911-9124
(434) 962-6039
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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