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Gwen Martin, LPTA

NPI 1164783684 · on the registry since 2012

Practice

Address
500 Hospital Dr
Crestview, FL 32539
Phone
(850) 398-6428
Fax
(850) 398-6507
Organisation at this address
Southern Psychiatry Llc
500 Hospital Dr Opco Llc
500 South Hospital Drive Operations Llc
North Okaloosa Health Care Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
FL, AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida