Individual
JODY JEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 S 7TH ST # 5, MINNEAPOLIS, MN 55454-1404
(612) 273-4277
Mailing address
3191 SHOREWOOD DR, ARDEN HILLS, MN 55112-7948
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105610
MN
227800000X
Certified Respiratory Therapist
105610
MN
Other
Enumeration date
02/09/2021
Last updated
04/13/2021
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