Individual
MARALIE BECKER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4377 E CHEROKEE HTS, IDAHO FALLS, ID 83406-8323
(208) 520-0385
Mailing address
4377 E CHEROKEE HTS, IDAHO FALLS, ID 83406-8323
(208) 520-0385
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1022
ID
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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