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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GINA RENEE BLAKE, P.T.

Active Sole Proprietor

MRS. GINA RENEE BLAKE, P.T. is a Physical Therapy Assistant healthcare provider located in FLOWERY BRANCH, Georgia. NPI 1053596569 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FLOWERY BRANCH, GA

Registration Details

NPI Number
1053596569
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2008 (18.586206943907 yrs)
Last Updated
Dec 12, 2011
License
7434 (GA)
Sole Proprietor
Yes

Practice Information

Address
4754 MARTIN RD
SUITE 200
FLOWERY BRANCH, GA, 305423507
Browse GA providers · Browse ZIP 30542
Phone
7709674377
Fax
7709678077
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FLOWERY BRANCH, GA

Name Credential NPI
MS. SARAH MELISSA BATTEN P.T. 1669440897
JEREMY J ARKFELD P.T. 1841238847
MR. BRENDON BLAKE P.T. 1508804428
GAYLA K PRINCE PHYSICAL THERAPIST 1972755957
MR. JOHN L HOFFMAN III PT 1821340068
MRS. LAURIE KATHLEEN COLLINS DPT 1679993869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.