Individual
KELLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1849 TATE BLVD SE, HICKORY, NC 28602
(283) 580-9768
(866) 750-0856
Mailing address
1849 TATE BLVD SE, HICKORY, NC 28602
(283) 580-9768
(866) 750-0856
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4969
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7255198
—
OH
Enumeration date
09/29/2006
Last updated
07/22/2025
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