Individual
MRS. HEATHER MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10500 W LOOMIS RD, SUITE 150, FRANKLIN, WI 53132-8111
(414) 858-9223
(414) 858-1017
Mailing address
10500 W LOOMIS RD, SUITE 150, FRANKLIN, WI 53132-8111
(414) 858-9223
(414) 858-1017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4395026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41055800
—
WI
01
—
4395-026
LICENSE
WI
Enumeration date
12/28/2006
Last updated
11/14/2007
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