Individual
MADELINE G MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4811 MEADE ST, DENVER, CO 80221-1029
(972) 998-8060
Mailing address
4811 MEADE ST, DENVER, CO 80221-1029
(972) 998-8060
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
262073
CO
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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