# MRS. SAMANTHA CANNON MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700297256
- **Gender:** F
- **Credential:** MSOT/L, CLT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | OT004468 | GA | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | OT004468 | GA | Yes |

## Other

- **Enumeration date:** 05/17/2014
- **Last updated:** 05/04/2022