Individual
STACIA DAY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3918 DICKERSON PIKE, NASHVILLE, TN 37207-1328
(615) 397-2360
(866) 234-7086
Mailing address
328 ARCHWOOD DR, MADISON, TN 37115-3006
(615) 612-6064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1399
TN
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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