Individual
DIANE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2482 IMPALA DRIVE, RONKS, PA 17572
(484) 319-5349
Mailing address
2482 IMPALA DRIVE, RONKS, PA 17572
(484) 319-5349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010272
PA
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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