Individual provider · Type 1 NPI

Kelly Martin, COTA

Rehabilitation Practitioner · Glendale, AZ

NPI number 1316330178 Active

Practice location

12111 N 66th Ave
Glendale, AZ 85304-1625

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000X5909 (AZ)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

About NPI 1316330178

Kelly Martin, COTA's National Provider Identifier is 1316330178, issued on Mar 17, 2015. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Glendale, AZ. The record was last updated on Mar 17, 2015.