Provider Demographics
NPI:1528952991
Name:MARTIN, NANCY JOANNE (OT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JOANNE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N PINE ISLAND RD APT 206
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1897
Mailing Address - Country:US
Mailing Address - Phone:954-632-5847
Mailing Address - Fax:
Practice Address - Street 1:301 N PINE ISLAND RD APT 206
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1897
Practice Address - Country:US
Practice Address - Phone:954-632-5847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist