Individual
DANA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
13500 BRANDON PL, OKLAHOMA CITY, OK 73142-4312
(405) 720-0010
Mailing address
10751 SHADY OAKS LN, GUTHRIE, OK 73044-8530
(405) 317-3985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT883
OK
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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