KENNETH MARTIN

BREMEN, GA
NPI1700407673
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119-008582)
Enumeration Date2020-05-02
Last Update Date2020-05-02
Business Address
KENNETH MARTIN OTR/L
315 FIELD ST
BREMEN, GA 30110-2105
Phone number: 770-537-4482
Mailing Address
KENNETH MARTIN OTR/L
6009 ZURICH DR
RICHMOND, VA 23224-4527
Phone number: 804-972-8010
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