Provider Demographics
NPI:1407254253
Name:MARTIN, NAJA SALEEM (PT, DPT)
Entity Type:Individual
Prefix:
First Name:NAJA
Middle Name:SALEEM
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 WEBB GIN HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-5440
Mailing Address - Country:US
Mailing Address - Phone:470-299-5013
Mailing Address - Fax:470-299-5014
Practice Address - Street 1:1375 WEBB GIN HOUSE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-5440
Practice Address - Country:US
Practice Address - Phone:470-299-5013
Practice Address - Fax:470-299-5014
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0113732251G0304X, 2251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology