Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 6700 |
NPI | 1831713072 |
---|---|
Provider Name | Bethany Martin |
First Address | Silver Spring, MD 20910-3737 |
Second Address | Silver Spring, MD 20910-3737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2020 |
Last Update Date | 03/06/2020 |