Individual
ALYSSIA NICOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 OAK ST, LACONIA, NH 03246-2705
(843) 503-0714
Mailing address
4147 GARDEN LN, CONWAY, SC 29527-6562
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5756
SC
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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