Individual
EMILY SUSAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
1210 FOURIER DR, SUITE #100, MADISON, WI 53717-1969
(608) 662-9327
(608) 662-9041
Mailing address
1210 FOURIER DR, SUITE #100, MADISON, WI 53717-1969
(608) 662-9327
(608) 662-9041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5279-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164859054
—
WI
Enumeration date
10/09/2013
Last updated
11/17/2015
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