Individual
AISHA MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
121 E 30TH ST, NEW YORK, NY 10016-7302
(212) 679-4319
Mailing address
121 E 30TH ST, NEW YORK, NY 10016-7302
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
12/07/2018
Last updated
04/21/2020
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