Individual
SUSAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8661
Mailing address
43 LEVEL ACRES RD, ATTLEBORO, MA 02703-6843
(508) 761-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
236
RI
225X00000X
Occupational Therapist
4146
MA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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