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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY MARTIN, COTA

Active

KELLY MARTIN, COTA is a Occupational Therapy Assistant healthcare provider located in GLENDALE, Arizona. NPI 1316330178 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · GLENDALE, AZ

Registration Details

NPI Number
1316330178
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2015 (11.429724117848 yrs)
Last Updated
Mar 17, 2015
License
5909 (AZ)

Practice Information

Address
12111 N 66TH AVE
GLENDALE, AZ, 853041625
Browse AZ providers · Browse ZIP 85304
Phone
5735690144
Primary Specialty
Occupational Therapy Assistant
225400000X
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.