Individual
MRS. JENNIFER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6685 E 117TH AVE, CROWN POINT, IN 46307-7808
(219) 663-6392
(219) 663-3529
Mailing address
10371 REDWOOD DR, SAINT JOHN, IN 46373-8783
(847) 345-4336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001382A
IN
Other
Enumeration date
09/08/2008
Last updated
06/21/2012
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