DOUGLAS MARTIN

CARROLLTON, GA
NPI1730739350
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  011092)
Enumeration Date2019-09-16
Last Update Date2019-09-16
Business Address
DOUGLAS MARTIN PTA
120 CUNNINGHAM DR STE F
CARROLLTON, GA 30117-2818
Phone number: 678-664-1467
Mailing Address
DOUGLAS MARTIN PTA
32 DANIEL AVE
CHEEKTOWAGA, NY 14225-4504
Phone number: 716-472-2630
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