Individual
KATHRYN DIAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
4695 E NORTHFIELD DR, BROWNSBURG, IN 46112-1784
(317) 520-4748
Mailing address
9919 TOWNE RD, 4695 E. NORTHFIELD DRIVE, BROWNSBURG, IN 46112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31006907A
IN
225XP0200X
Pediatric Occupational Therapist
Primary
31006907A
IN
Other
Enumeration date
07/15/2019
Last updated
06/03/2022
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