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Individual

ALLISON DIANE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3303 NORTHLAND DR STE 312, AUSTIN, TX 78731-4956
(512) 291-2669
Mailing address
5605 WOODVIEW AVE, AUSTIN, TX 78756-1025
(202) 321-3332

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118490
TX
225XP0200X
Pediatric Occupational Therapist
06499
MD

Other

Enumeration date
04/12/2012
Last updated
09/02/2022
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