Most Relevant Information
Provider Data
| NPI Number: | 1003482985 |
| Provider Name: | KRISTEN MARTIN MS, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 056014072 |
Most Important Dates
| Enumeration Date: | 06/01/2021 |
| Last Updated: | 06/01/2021 |
Provider Practice Location
917 SHERWOOD DR STE 201
LAKE BLUFF
IL
600442235
Practice Location Phone/Fax
| Phone: | 8774864140 |
| Fax: |
Provider Mailing Location
950 LEE ST STE 210
DES PLAINES
IL
600166574
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |