Individual provider · Type 1 NPI
Van Martin Iii
Developmental Therapist · St. Augustine, FL
Practice location
5865 Capo Island Rd
St. Augustine, FL 32095-9624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1881042927
Van Martin Iii's National Provider Identifier is 1881042927, issued on May 31, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Augustine, FL. The record was last updated on May 31, 2016.