Individual
MARTHA TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
162 MAE ST, LOGAN, OH 43138-9392
(740) 385-6978
Mailing address
162 MAE ST, LOGAN, OH 43138-9392
(740) 385-6978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
529
OH
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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