Individual
MRS. HEIDI LOBEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
6420 COLEWOOD CT NW, STE 426, ATLANTA, GA 30328-2921
(770) 654-9542
(404) 255-9239
Mailing address
6420 COLEWOOD CT NW, ATLANTA, GA 30328-2921
(770) 654-9542
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003007
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000916363B
—
GA
01
—
393126
BCBS PIN
GA
Enumeration date
11/18/2006
Last updated
12/29/2008
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