Individual
DAVIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4580 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5521
(678) 771-6459
Mailing address
2508 AYCOCK CEMETERY ROAD, LEIGHTON, AL 35646
(970) 417-7462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
489346
AL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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