Individual
BETH ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3382 ANDERSONVILLE HWY, ANDERSONVILLE, TN 37705-3816
(865) 494-0986
Mailing address
211 WILLOW RUN, CLINTON, TN 37716-2717
(865) 755-2574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1147
TN
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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