Provider Demographics
NPI:1497340301
Name:MARTINEZ-GUY, EVELYN (PT, MS)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:
Last Name:MARTINEZ-GUY
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 PENHURST DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-8163
Mailing Address - Country:US
Mailing Address - Phone:770-329-6984
Mailing Address - Fax:
Practice Address - Street 1:1363 PENHURST DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-8163
Practice Address - Country:US
Practice Address - Phone:770-329-6984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator