Individual
CHARITY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1105 S MAIN ST, WEST, TX 76691-2029
(254) 707-0633
Mailing address
1105 S MAIN ST, WEST, TX 76691-2029
(254) 707-0633
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214784
TX
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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