Organization
ASSISTIVE TECHNOLOGY INITIATIVES
Active
Other names
ATi
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER I MARTIN MA, CCC-SLP (SLP/CEO)
(505) 330-6443
Entity
Organization
Contact information
Practice address
612 LITTLE RABBIT, AZTEC, NM 87410-3108
(505) 330-6443
Mailing address
612 LITTLE RABBIT, AZTEC, NM 87410-3108
(505) 330-6443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1429
NM
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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