Individual
DAWN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 WOODS LANE, ROGERS, AR 72756
(479) 636-3190
Mailing address
3802 SW MAPLE RD, BENTONVILLE, AR 72712-7330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1964
AR
Other
Enumeration date
05/11/2007
Last updated
07/09/2007
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