Kellianne Kristian Martin

NPI #1104173681 in Kennett Square, Pennsylvania

Provider Information

NPI Number: 1104173681
Entity Type: Individual
Name: Kellianne Kristian Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 14, 2012
Last Updated: Aug 14, 2012

Practice Location

Address: 101 EAST STATE STREET
City: Kennett Square
State: Pennsylvania
ZIP Code: 19348
Phone: (855) 497-6446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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