Individual
ALITA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 CROWN POINTE BLVD, WILLOW PARK, TX 76087-1160
(817) 757-1200
(817) 757-1201
Mailing address
300 CROWN POINTE BLVD, WILLOW PARK, TX 76087-1160
(817) 757-1200
(817) 757-1201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207800
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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