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1700129798
MARTHA SAM
EAST POINT, GA
NPI
1700129798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Enumeration Date
2013-03-28
Last Update Date
2013-03-28
Business Address
-- MARTHA SAM pta
1203 CLEVELAND AVE SUITE 1 A
EAST POINT, GA 30344-3417
Phone number: 678-361-7427
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Mailing Address
-- MARTHA SAM pta
1203 CLEVELAND AVE SUITE 1 A
EAST POINT, GA 30344-3417
Phone number: 678-361-7427
Copy
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