| NPI | 1578719449 |
|---|---|
| Former Name | JACINDA N MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY KY-A3512) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IN 32001418A) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |