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Gina Blake, P.T
NPI 1053596569 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4754 Martin Rd
Suite 200
Flowery Branch, GA 30542 - Phone
- (770) 967-4377
- Fax
- (770) 967-8077
- Organisation at this address
- Back In The Game Physical Therapy, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-12
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 Georgia