Individual
JENNIFER ASHLEY MARTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
722 S DARGAN ST, FLORENCE, SC 29506-2559
(843) 669-4403
Mailing address
722 S DARGAN ST, FLORENCE, SC 29506-2559
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5054
SC
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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