Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DAVID MARTIN, COTA/L
Active Sole ProprietorMARK DAVID MARTIN, COTA/L is a Occupational Therapy Assistant healthcare provider located in MARSHALL, Illinois. NPI 1083588933 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MARSHALL, IL
Registration Details
- NPI Number
- 1083588933
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2025 (0.8634604139257 yrs)
- Last Updated
- Oct 2, 2025
- License
-
057.006158 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 N 2ND STMARSHALL, IL, 624411010Browse IL providers · Browse ZIP 62441
- Phone
- 2178262358
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.