Individual
ABBEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 E LAKE ST, LAKE ANDES, SD 57356-2001
(605) 384-3661
Mailing address
30373 398TH AVE, WAGNER, SD 57380-7213
(605) 491-3294
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
282A
SD
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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