NPI 1376869263

Lyvetta Walker Marshall, SPECIALIST

Practitioner Orthotic Fitter Martinez, GA

Practice location

Address: 187 Hightower Dr Suite B, Martinez, GA 30907-8405
Phone: (706) 823-9973
Mailing address: 3781 Freeman Dr, Martinez, GA 30907-9578

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence CO072859 (GA)

Other Orthotic Fitter providers in Georgia →

Registry record

NPI: 1376869263
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2010
Record last updated: 16 Apr 2010

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.