Individual
HANNAH LANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
9293 POPLAR AVE STE PT999, MEMPHIS, TN 38138-7921
(850) 588-9641
Mailing address
PO BOX 168, CRYSTAL SPRINGS, MS 39059-0168
(850) 588-9641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7296
TN
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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