Individual
MRS. LAURA NICOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
240 JULIE LN, STONEWALL, LA 71078-9395
(318) 393-6695
Mailing address
240 JULIE LN, STONEWALL, LA 71078-9395
(318) 393-6695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200592
LA
Other
Enumeration date
11/01/2012
Last updated
04/14/2016
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