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Individual

MR. JAMES FRANK MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.O.T.A.

Contact information

Practice address
111 LIME KILN RD, SUFFERN, NY 10901-2601
(845) 354-4625
Mailing address
111 LIME KILN RD, SUFFERN, NY 10901-2601
(845) 354-4625

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
004776
NY
224Z00000X
Occupational Therapy Assistant
Primary
46TA09014600
NJ

Other

Enumeration date
10/24/2010
Last updated
10/24/2010
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