Individual
ZOE NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CTRS
Contact information
Practice address
409 E COOK RD STE 100, FORT WAYNE, IN 46825
(260) 487-4226
(260) 490-5433
Mailing address
7052 COUNTY ROAD 427, AUBURN, IN 46706-9686
(260) 433-7868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006462A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31006462A
NBCOT
IN
Enumeration date
10/31/2017
Last updated
05/29/2018
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