Individual
JOSHLYN CARLISSA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 ANDERSON RD, GREENVILLE, SC 29611-7651
(864) 295-9890
Mailing address
507 BAYCRAFT LN, SIMPSONVILLE, SC 29681-7158
(864) 380-3377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12129
SC
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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