Individual
NOELLE KRISTEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
(301) 677-8818
Mailing address
1312 GUILFORD AVE APT 202, BALTIMORE, MD 21202-4075
(623) 980-8993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A02232
MD
224Z00000X
Occupational Therapy Assistant
Primary
334541
MD
224Z00000X
Occupational Therapy Assistant
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Other
Enumeration date
06/22/2015
Last updated
08/17/2022
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