Individual
TAMOR B MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3610 RANDOLPH RD, CHARLOTTE, NC 28211-1318
(704) 366-2550
(704) 366-2550
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 991-2034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1461
NC
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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