Individual
MS. AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
850 MIX AVE, HAMDEN, CT 06514
(203) 285-1082
Mailing address
91 CLAREMONT ST, BRISTOL, CT 06010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003989
CT
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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