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Individual

COLLEEN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
187 BEDELL AVE, HIGHLAND, NY 12528-2205
(845) 764-0463
Mailing address
187 BEDELL AVE, HIGHLAND, NY 12528-2205

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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