Individual
ROLANDA M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 SEXTON WAY, MIDWAY, KY 40347-7800
(859) 846-4663
Mailing address
PO BOX 95, CYNTHIANA, KY 41031-0095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
135834
KY
224Z00000X
Occupational Therapy Assistant
A1992
KY
Other
Enumeration date
07/14/2008
Last updated
01/22/2021
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