IndividualActive
Aquesha Martin, MS, OTR/L
NPI 1437248663 · Pediatric Occupational Therapist · Loganville, GA
Provider details
- NPI number
- 1437248663
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT003614 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1799 Mission Park Ct
Loganville, GA 30052-7511
Phone: (678) 794-2445
Fax: (770) 979-2591
Approximate (ZIP-level) locationGet directions
Mailing address
1799 Mission Park Ct
Loganville, GA 30052-7511
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.