Individual
MICHELLE R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3206 PEACH ORCHARD RD, AUGUSTA, GA 30906-3540
(706) 798-9323
(706) 772-8873
Mailing address
PO BOX 5545, AUGUSTA, GA 30916-5545
(706) 798-9323
(706) 772-8873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3092
SC
225200000X
Physical Therapy Assistant
PTA003271
GA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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