Individual
KIMBERLY FERN MARTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3326 FRONT ST, WINNSBORO, LA 71295-6406
(318) 367-6060
Mailing address
29 BRADLEY RD, RAYVILLE, LA 71269-5713
(318) 282-4390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11326
LA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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