Madison Lynn Martin
Occupational Therapist in Stephenson, MI. Individual provider (NPI-1).
NPI number1619706801
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1619706801
- Entity type
- Individual (NPI-1)
- Name
- Madison Lynn Martin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2024
- Certification date
- Jul 28, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 868026 | WI | Yes |
Practice location
S926 Us Highway 41Stephenson, MI 49887-8808
Phone 906-753-4893
Mailing address
W1715 Maple Hill LnMarinette, WI 54143-9483
Phone 715-923-8334
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