Martin, Sandra Denise

Martin, Sandra Denise is an individual health care provider with primary practice located at 170 Kimel Park Dr , Winston-Salem NC 27103-6946. 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, Sandra Denise can be contacted via phone (336) 768-1270.

Contact Information

Primary practice address
170 Kimel Park Dr Winston-Salem NC 27103-6946
Phone: (336) 768-1270
Fax: (336) 765-6375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 6010 North Carolina

Profile Details

NPI number 1568409779
LBN Legal business name Martin, Sandra Denise
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Apr 10th, 2008 - about 16 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 1568409779 NPPES
North Carolina Other 187647 MEDCOST PROVIDER #
North Carolina Other 808087 MEDCOST PROVIDER #
North Carolina Other 1412M MEDCOST PROVIDER #

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