Individual
JAIME N MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4640 MARTIN RD, CUMMING, GA 30041-5533
(678) 679-1261
Mailing address
226 SHADOW LN, DAWSONVILLE, GA 30534-7367
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004964
GA
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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