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Contact Information

COLLEEN MARTONICK, MSOTR/L, CLT
405 N WICKHAM RD STE 103
MELBOURNE, FL32935
 Phone: 321-327-8509
 Fax: 321-327-2130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for COLLEEN MARTONICK · (Female)

NPI # 1346301165
Status Active
Credentials MSOTR/L, CLT
Entity Individual
Enumeration date 12/13/2006
Last updated 08/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OT18735
  • PA License # OC-008065
  • Other 1447433 BLUE SHIELD
  • Other 814187 FIRST PRIORITY
  • Other 814251 FIRST PRIORITY
  • Other 818055 FIRST PRIORITY
  • Other 388447 HEALTH AMERICA ASSURANCE
  • Other 393533 HEALTH AMERICA ASSURANCE
  • Other 393534 HEALTH AMERICA ASSURANCE
  • FL Other OT18735 DOH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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