Individual
MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
114 ASBURY DR, WILMORE, KY 40390-1115
(859) 553-1720
Mailing address
114 ASBURY DR, WILMORE, KY 40390-1115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
KY-R5741
KY
225X00000X
Occupational Therapist
Primary
OT006197
GA
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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