Individual
KATHRYN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
769 N 27TH ST, PHILADELPHIA, PA 19130-2412
(843) 425-5411
Mailing address
PO BOX 1261, MOUNT PLEASANT, SC 29465-1261
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC017087
PA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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