Individual
MRS. JULIE A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
61 BELLEVUE AVE, BRISTOL, CT 06010
(860) 589-1682
Mailing address
53 BELDEN RD, BURLINGTON, CT 06013
(860) 673-9583
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000530
CT
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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