Individual
JESSICA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
4624 REDFISH CT, APOPKA, FL 32712-5748
(407) 495-0028
Mailing address
4624 REDFISH CT, APOPKA, FL 32712-5748
(407) 495-0028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004249800
—
FL
Enumeration date
10/24/2011
Last updated
06/13/2016
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