Individual
ELLEN ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1821 S STOUGHTON RD, DEAN MEDICAL CENTER, MADISON, WI 53716-2257
(608) 260-6000
Mailing address
1821 S STOUGHTON RD, DEAN MEDICAL CENTER, MADISON, WI 53716-2257
(608) 260-6000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1007-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3714
DEAN HEALTH INSURANCE
WI
Enumeration date
02/06/2008
Last updated
11/06/2009
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