Individual
COLLEEN MARTIN
Active
Individual
COLLEEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
009149-1
NY
225X00000X
Occupational Therapist
Primary
027017-01
NY
Other
Enumeration date
03/05/2019
Last updated
09/14/2022
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