Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 3274 | MT |
NPI | 1013097526 |
---|---|
Provider Name | Melinda Martin |
First Address | Helena, MT 59601-2438 |
Second Address | Helena, MT 59601-2438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 26/08/2015 |