Individual
ASHLEY SIERRA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 864-6695
Mailing address
124 DEER PARK DR, CLAY CITY, KY 40312-9672
(606) 481-0353
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
05/19/2020
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