Individual
MRS. INEZ A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-3236
(608) 723-3379
Mailing address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-3236
(608) 723-3379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2770-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40822000
—
WI
Enumeration date
03/17/2008
Last updated
06/10/2008
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