Individual
SAMANTHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
114 COLLEGE AVE STE C, ELBERTON, GA 30635-1737
(706) 213-8506
Mailing address
114 COLLEGE AVE STE C, ELBERTON, GA 30635-1737
(706) 213-8506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004056
GA
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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