Individual
MRS. AMY MICHELLE MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3602 TRAIL TWENTY THREE ST, DURHAM, NC 27707-5156
(919) 489-7771
Mailing address
4105 BRENMAR LN, DURHAM, NC 27713-8173
(919) 450-0681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5128
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301797
—
NC
Enumeration date
12/14/2005
Last updated
07/08/2007
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