Individual
MS. CARRIE LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
6200 BRANDT ST, COCOA, FL 32927-8931
(407) 620-4423
Mailing address
6200 BRANDT ST, COCOA, FL 32927-8931
(407) 620-4423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
06098
MD
225X00000X
Occupational Therapist
Primary
OT 12757
FL
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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