Individual
JACOB L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1254 ANDREWS AVE, OZARK, AL 36360-3712
(334) 445-1380
(334) 445-1489
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 236-2774
(706) 236-2783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2-0541
AL
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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