Individual
PATRICIA JEAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7216
NC
224Z00000X
Occupational Therapy Assistant
OP000910L
PA
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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