Individual
MRS. AMANDA READING MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3620 COVENANT RD, COLUMBIA, SC 29204-4216
(803) 787-3033
Mailing address
PO BOX 130, BALLENTINE, SC 29002-0130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3575
SC
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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