Individual
JORDAN ASHLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2328 HANCOCK BRIDGE PKWY STE 103, CAPE CORAL, FL 33990-1455
(239) 574-7557
Mailing address
1009 ALFREDA AVE, LEHIGH ACRES, FL 33971-6443
(239) 822-3296
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19767
FL
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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