Individual
MRS. PAULA G MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4940 WOODLAWN DR, BISMARCK, ND 58504-8038
(701) 223-8640
Mailing address
4940 WOODLAWN DR, BISMARCK, ND 58504-8038
(701) 223-8640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
249
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58567
—
ND
Enumeration date
02/06/2007
Last updated
07/09/2007
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