Individual
MS. ANNETTE MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
706 SUMMITT XING PL, GASTONIA, NC 28054-2175
(704) 323-2000
Mailing address
4601 PARK RD, ORTHOCAROLINA (ATTN: CREDENTIALING), CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2696
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302060
—
NC
Enumeration date
11/03/2006
Last updated
05/13/2010
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