Individual
CHERYL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
16357 AURORA AVE N, SHORELINE, WA 98133-5651
(206) 542-3103
Mailing address
16357 AURORA AVE N, SHORELINE, WA 98133-5651
(206) 542-3103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0C00001138
WA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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