Individual
JENNIFER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 W 40TH ST, BALTIMORE, MD 21211-2140
(443) 545-6089
Mailing address
1400 BERRY ST, BALTIMORE, MD 21211-1928
(443) 545-6089
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01883
MD
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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