Individual
ALLIE MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 N SANTA FE AVE, OKLAHOMA CITY, OK 73116-9126
(405) 840-2903
Mailing address
3824 NW 61ST ST, OKLAHOMA CITY, OK 73112-1414
(405) 921-4982
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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