Individual
MCKENNAH DANYALE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
923 PINHURST DR, ATLANTA, GA 30339-3673
(423) 463-6081
Mailing address
923 PINHURST DR, ATLANTA, GA 30339-3673
(423) 463-6081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007684
GA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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