Individual
LILLIAN GRACE MARTTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3405 DALLAS HWY SW STE 601, MARIETTA, GA 30064-6427
(770) 438-5226
Mailing address
2361 SANFORD RD, DECATUR, GA 30033-5511
(931) 607-2910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015959
GA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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