Individual
MS. ROSE MARY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22 DURHAM ST, WATKINSVILLE, GA 30677-2423
(706) 310-4103
Mailing address
1061 LAUREL POINTE, WATKINSVILLE, GA 30677-7558
(706) 202-7133
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
238
GA
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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