Individual
ANGELA L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
206 LYTTLETON LN, MADISON HEIGHTS, VA 24572-2316
(434) 610-8795
Mailing address
206 LYTTLETON LN, MADISON HEIGHTS, VA 24572-2316
(434) 610-8795
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001190
VA
Other
Enumeration date
12/16/2013
Last updated
05/19/2016
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