NPI 1073866117

Charles Steven Martin, BAQMHP

Practitioner Recreation Therapist Charlottesville, VA

Practice location

Address: 200 Pineridge Ln, Charlottesville, VA 22911-9124
Phone: (434) 962-6039

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Virginia →

Registry record

NPI: 1073866117
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2012
Record last updated: 25 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.