Individual
PAIGE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
12840 HILLCREST RD, SUITE E104, DALLAS, TX 75230-1528
(972) 404-3077
Mailing address
12840 HILLCREST RD, SUITE E104, DALLAS, TX 75230-1528
(972) 404-3077
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
11455
CA
225XP0200X
Pediatric Occupational Therapist
Primary
116109
TX
Other
Enumeration date
01/27/2012
Last updated
04/24/2014
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