Charles Steven Martin II, B.A, QMHP
NPI #1073866117 in Charlottesville, Virginia
Provider Information
- NPI Number
- 1073866117
- Entity Type
- Individual
- Name
- Charles Steven Martin II, B.A, QMHP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Recreation Therapist
- Credential
- B.A, QMHP
- Enumeration Date
- Oct 25, 2012
- Last Updated
- Oct 25, 2012
Practice Location
- Address
- 200 PINERIDGE LN
- City
- Charlottesville
- State
- Virginia
- ZIP Code
- 22911-9124
- Phone
- (434) 962-6039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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