Individual
MRS. CARRIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1350 RECHE CANYON RD, COLTON, CA 92324-9528
(909) 370-4411
Mailing address
1350 RECHE CANYON RD, COLTON, CA 92324-9528
(909) 370-4411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5542
CA
Other
Enumeration date
04/07/2011
Last updated
01/24/2012
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