Individual
ASIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
6020 CONSTITUTION AVE. NE, SUITE 4, ALBUQUERQUE, NM 87110
(505) 255-5099
Mailing address
PO BOX 3338, ALBUQUERQUE, NM 87190-3338
(505) 255-5099
(505) 255-4206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4535
NM
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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