Individual provider · Type 1 NPI

Mary Wallace Martin

Occupational Therapist · Monroe, NC

NPI number 1194681783 Active

Practice location

2814 Gray Fox Rd
Monroe, NC 28110-8422

Call (704) 821-0568 Map

Mailing address

1 Shady Ln
Greenville, SC 29605-1260

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X7820 (SC)
Occupational Therapist Primary 225X00000X18157 (NC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1194681783

Mary Wallace Martin's National Provider Identifier is 1194681783, issued on Dec 29, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Monroe, NC. The record was last updated on Dec 29, 2025.