Individual
MS. STACIA J MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
327 CHASE HILL RD, ANDOVER, NH 03216-4109
(603) 496-5214
(603) 776-0381
Mailing address
327 CHASE HILL RD, ANDOVER, NH 03216-4109
(603) 496-5214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1336
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065349
AETNA
NH
01
—
13Y008938NH01
ANTHEM BC/BS
NH
05
—
30413840
—
NH
01
—
386488
MVP
NH
Enumeration date
07/19/2006
Last updated
08/06/2021
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