Individual
ANNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
101 NEW YORK AVE, FORT WORTH, TX 76104-1558
(469) 316-0622
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
46501
TX
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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