Individual
SHEILA K MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
301 W CALHOUN, MAGNOLIA, AR 71753-3508
(870) 234-1597
Mailing address
28 REGAL ROW, MAGNOLIA, AR 71753-9579
(479) 650-2194
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
Primary
OT-A744
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200256721
—
AR
Enumeration date
10/17/2008
Last updated
02/13/2020
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