Individual
CONSTANCE FAITH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
405 OSIGIAN BLVD, WARNER ROBINS, GA 31088-8958
(478) 953-3535
Mailing address
102 EMERALD CT, WARNER ROBINS, GA 31093-7211
(478) 957-1747
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002615
GA
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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