Individual
MARY JESSICA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11539 PARK WOODS CIR, SUITE 502, ALPHARETTA, GA 30005-4413
(678) 527-3224
Mailing address
11539 PARK WOODS CIR, SUITE 502, ALPHARETTA, GA 30005-4413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001861
GA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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