NPI 1316330178

Kelly Martin, COTA

Practitioner Rehabilitation Practitioner Glendale, AZ

Practice location

Address: 12111 N 66th Ave, Glendale, AZ 85304-1625
Phone: (573) 569-0144

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 5909 (AZ)

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Registry record

NPI: 1316330178
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2015
Record last updated: 17 Mar 2015

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.