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1467980144
KAITLYN SUZANNE MARTIN
WAYCROSS, GA
NPI
1467980144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003404)
Enumeration Date
2017-05-25
Last Update Date
2017-05-25
Business Address
KAITLYN SUZANNE MARTIN PTA
2267 MEMORIAL DR STE 300
WAYCROSS, GA 31501-0902
Phone number: 912-285-1927
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Mailing Address
KAITLYN SUZANNE MARTIN PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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