Individual
MADISON LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
S926 US HIGHWAY 41, STEPHENSON, MI 49887-8808
(906) 753-4893
Mailing address
W1715 MAPLE HILL LN, MARINETTE, WI 54143-9483
(715) 923-8334
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
868026
WI
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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