Individual
DAWN MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
815 FORD AVE, OGDENSBURG, NY 13669-3109
(315) 393-5280
Mailing address
815 FORD AVE, OGDENSBURG, NY 13669-3109
(315) 393-5280
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005171-1
NY
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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