Raven H Martin, COTA
Occupational Therapy Assistant in Orange City, Florida
1619694221- Practice location
- 2667 Enterprise RD, Orange City, FL 32763-8217
- Phone
- 321-329-0159
- Fax
- —
- Last updated
- October 24, 2022
Raven Hannah Martin is an Occupational Therapy Assistant based in Orange City, FL. Raven Hannah Martin practices in Orange City, FL and has the professional credentials of COTA. The NPI Number for Raven Hannah Martin is 1619694221 and holds a License No. 19172 (FL). The current practice location address for Raven Hannah Martin is 2667 Enterprise RD, Orange City, FL 32763-8217 and can be reached out via phone at 321-329-0159.
Provider Profile Details
- NPI Number
- 1619694221
- Provider Name
- Raven Hannah Martin
- Credential
- COTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2667 Enterprise RD, Orange City, FL 32763-8217
- Phone Number
- 321-329-0159
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2022
- Last Update Date
- October 24, 2022
- Certification Date
- October 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2667 Enterprise RD
Orange City, FL 32763-8217 - City
- Orange City
- State
- Florida
- Zip
- 32763-8217
- Phone Number
- 321-329-0159
Provider Business Mailing Address Details
- Address
- 34 Ash St # 2
Spencer, MA 01562-2316 - City
- Spencer
- State
- MA
- Zip
- 01562-2316
- Phone Number
- 386-295-6928
License Information
- License Number
- 19172
- License State
- FL
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapy Assistants near Orange City, FL
View all Occupational Therapy Assistants in Orange City →Frequently Asked Questions
What is the NPI number of Raven H Martin, COTA?
The NPI number of Raven H Martin, COTA is 1619694221. It was assigned on October 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Raven H Martin, COTA?
Raven H Martin, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in FL under license number 19172.
Where does Raven H Martin, COTA practice?
The practice location is 2667 Enterprise RD, Orange City, FL 32763-8217. The office can be reached at 321-329-0159 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619694221 directly on the NPPES registry website.