Individual
MRS. LISA A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 BUTMAN RD, LOWELL, MA 01852-3004
(978) 441-0305
Mailing address
54 BUTMAN RD, LOWELL, MA 01852-3004
(978) 441-0305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8458
MA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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