Individual
JUSTIN LOUIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(037) 512-4088
Mailing address
2513 BURNEY DR, COLUMBIA, SC 29205-3116
(623) 326-9872
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT006472
GA
Other
Enumeration date
11/29/2005
Last updated
02/12/2025
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