Individual
ALEXIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
4448 ASCOT CT, OAKLAND TOWNSHIP, MI 48306-4719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005762
MI
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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