Individual
PAMELA ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 DAVEGA DR, LEXINGTON, SC 29073-9698
(803) 796-8731
(803) 794-9387
Mailing address
3630 RANCH ROAD UNIT 8-3, COLUMBIA, SC 29206
(803) 738-9728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1073
SC
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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