Individual
ERIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6300 67TH ST, KENOSHA, WI 53142-1437
(262) 232-6271
Mailing address
2850 87TH ST APT 201, STURTEVANT, WI 53177-2057
(262) 716-5665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5366
WI
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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