Individual
BILLY ISAAC MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C/OTA
Contact information
Practice address
306 DEER PARK RD, NEBO, NC 28761-8746
(828) 652-8278
(828) 652-8278
Mailing address
105 N 5TH AVE, MADILL, OK 73446-1200
(580) 795-3301
(580) 795-7307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4740
NC
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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