BRENDA ANN MARTIN

MANDEVILLE, LA
NPI1831755628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  Z10469)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence:   Z10469)
Enumeration Date2019-05-16
Last Update Date2019-05-16
Business Address
Ms. BRENDA ANN MARTIN LOTR
23515 HIGHWAY 190
MANDEVILLE, LA 70448-7334
Phone number: 985-626-6649
Mailing Address
Ms. BRENDA ANN MARTIN LOTR
513 BON TEMPS ROULE
MANDEVILLE, LA 70471-2504
Phone number:
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