Individual
PETER PATRICK MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
24 OAK STREET, RENSSELAER, NY 12144
(518) 331-8898
(518) 283-6799
Mailing address
PO BOX 8406, ALBANY, NY 12208-0406
(518) 331-8898
(518) 283-6799
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
09/14/2010
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