Individual
CHELSEA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4028 HIGHWAY 5, DOUGLASVILLE, GA 30135-3530
(770) 942-7111
Mailing address
220 26TH ST NW APT 1307, ATLANTA, GA 30309-1916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017134
GA
225100000X
Physical Therapist
—
GA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063050813
—
VA
Enumeration date
12/11/2019
Last updated
02/03/2025
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