Individual
BRENDA HATFIELD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A/L
Contact information
Practice address
1217 AUGUSTA ST, CHARLOTTESVILLE, VA 22903-5106
(434) 825-6314
Mailing address
1217 AUGUSTA ST, CHARLOTTESVILLE, VA 22903-5106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000093
VA
Other
Enumeration date
06/12/2008
Last updated
08/26/2011
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