Individual
MRS. KIMBERLY SUE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3231 MANLEY RD, MAUMEE, OH 43537-9680
(419) 865-1248
Mailing address
838 W WOOSTER ST, BOWLING GREEN, OH 43402-2601
(419) 764-3378
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-03557
OH
Other
Enumeration date
03/26/2007
Last updated
02/26/2013
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