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Myra Martin, COTA/L

NPI 1164678876 · on the registry since 2008

Practice

Address
103 W 13th St
Grove, OK 74344
Phone
(918) 786-2276
Fax
(918) 786-2276
Organisation at this address
Grand Lake Villa Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma