Individual
DANIELLE MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
5990 VENTURE PARK DR, KALAMAZOO, MI 49009-1858
(126) 953-2147
(269) 532-1472
Mailing address
5990 VENTURE PARK DR, KALAMAZOO, MI 49009-1858
(126) 953-2147
(269) 532-1472
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
59015
MI
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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