Individual
THOMASINA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 TINCHER RD, INDIANAPOLIS, IN 46221-3780
(317) 856-4851
Mailing address
8468 INLAND DR, AVON, IN 46123-5466
(317) 627-0723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000432A
IN
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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