Individual
MS. MICHELLE LYNNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
225 AMITY RD, WOODBRIDGE, CT 06525-2206
(203) 387-0076
Mailing address
29 INGERSOL RD, MILFORD, CT 06460-3601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004648
CT
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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