Individual
ANNA TUCKER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
1877 FARNSLEY RD, LOUISVILLE, KY 40216-4701
(502) 448-8622
Mailing address
1003 MEADOW HILL RD, LOUISVILLE, KY 40219-3016
(502) 905-0548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
165737
KY
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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