Individual
SHARI LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
90590 COUNTY ROAD 215, DECATUR, MI 49045-9261
(269) 913-2178
Mailing address
90590 COUNTY ROAD 215, DECATUR, MI 49045-9261
(269) 913-2178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-006226
IL
225X00000X
Occupational Therapist
Primary
31004352A
IN
225X00000X
Occupational Therapist
5201007064
MI
Other
Enumeration date
03/16/2007
Last updated
05/14/2008
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