Martin, Amy Michelle

Martin, Amy Michelle is an individual health care provider with primary practice located at 3602 Trail Twenty Three St , Durham NC 27707-5156. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Martin, Amy Michelle can be contacted via phone (919) 489-7771.

Contact Information

Primary practice address
3602 Trail Twenty Three St Durham NC 27707-5156
Phone: (919) 489-7771
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5128 North Carolina

Profile Details

NPI number 1912982745
LBN Legal business name Martin, Amy Michelle
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912982745 NPPES
North Carolina MEDICAID 7301797

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