Individual
MRS. JACKIE MICHELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2000 W STANFIELD RD, TROY, OH 45373-2572
(937) 339-5100
Mailing address
2000 W STANFIELD RD, TROY, OH 45373-2572
(937) 339-5100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.007096
OH
Other
Enumeration date
11/20/2020
Last updated
12/07/2020
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