Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Wallace Martin

Individual provider Occupational Therapist · NPI 1194681783

Mary Wallace Martin is an Occupational Therapist in Monroe, North Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2025.

Licensed in
NC, SC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2814 Gray Fox Rd
Monroe, NC 28110-8422
Phone: (704) 821-0568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 18157 (NC)
Occupational Therapist Taxonomy 225X00000X · Licence 7820 (SC)

Record details

NPI number1194681783
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address1 Shady Ln, Greenville, SC 29605-1260

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