Martin, Sarah J

Martin, Sarah J is an individual health care provider with primary practice located at 2000 Mirror Lake Blvd , Villa Rica GA 30180-2124. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Martin, Sarah J can be contacted via phone (770) 456-7877.

Contact Information

Primary practice address
2000 Mirror Lake Blvd Villa Rica GA 30180-2124
Phone: (770) 456-7877
Fax: (770) 456-7880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X P06183 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT014358 Georgia

Profile Details

NPI number 1194247403
LBN Legal business name Martin, Sarah J
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2017
Last updated Feb 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194247403 NPPES
Georgia MEDICAID 003229857

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