NPI 1366125072

Corey Andre' Martin, PTA

Practitioner Physical Therapy Assistant Fayetteville, GA

Practice location

Address: 1240 Floy Farr Parkway Suite 404, Fayetteville, GA 30214
Phone: (470) 670-0485
Mailing address: 3690 Springside Ln, College Park, GA 30349-3550

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA005116 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1366125072
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2023
Record last updated: 9 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.