Individual
COURTNEY FITZGERALD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
1760 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 499-5191
Mailing address
1760 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 499-5191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4794-026
WI
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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