Individual
KELLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3513 INDIAN OAKS LN, TOLEDO, OH 43617-3007
(419) 944-6247
Mailing address
3513 INDIAN OAKS LN, TOLEDO, OH 43617-3007
(419) 944-6247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 8619
OH
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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