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Individual

CHLOE MCKAYLA MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
116 W CHURCH ST, NEWARK, OH 43055-5088
(740) 349-4986
Mailing address
145 N QUENTIN RD, NEWARK, OH 43055-4623

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008158
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA008158
OTPTAT BOARD
OH
Enumeration date
01/04/2022
Last updated
01/04/2022
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