Individual
MESHILA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CBIS, CSRS
Contact information
Practice address
4510 S SYCAMORE AVE, SPRINGFIELD, MO 65810-1256
(417) 350-3141
Mailing address
4510 S SYCAMORE AVE, SPRINGFIELD, MO 65810-1256
(417) 350-3141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022000509
MO
Other
Enumeration date
02/20/2024
Last updated
02/22/2024
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