Individual provider · Type 1 NPI

Corey Andre' Martin Sr., PTA

Physical Therapy Assistant · Fayetteville, GA

NPI number 1366125072 Active

Practice location

1240 Floy Farr Parkway, Suite 404
Fayetteville, GA 30214

Mailing address

3690 Springside Ln
College Park, GA 30349-3550

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA005116 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1366125072

Corey Andre' Martin Sr., PTA's National Provider Identifier is 1366125072, issued on Aug 9, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fayetteville, GA. The record was last updated on Aug 9, 2023.