Individual
ANTHONY RALPH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
319 VANCOUVER DR APT 38G, FAYETTEVILLE, NC 28303-5786
(978) 881-8028
Mailing address
319 VANCOUVER DR APT 38G, FAYETTEVILLE, NC 28303-5786
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10935
NC
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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