Individual
SHANNON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-4809
(702) 777-4822
Mailing address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-3247
(702) 777-4837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0696
NV
Other
Enumeration date
03/24/2010
Last updated
03/04/2015
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