Individual
AMY J MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HIGBEE R-VIII, 101 EVANS, HIGBEE, MO 65257-0128
(660) 263-5979
(660) 263-5179
Mailing address
2478 COUNTY ROAD 2320, MOBERLY, MO 65270
(660) 263-5979
(660) 263-5179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001000715
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475302568
—
MO
Enumeration date
03/19/2007
Last updated
02/20/2009
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