Evan Blackburn, P.T.

NPI #1154437754 in Suwanee, Georgia

Provider Information

NPI Number: 1154437754
Entity Type: Individual
Name: Evan Blackburn, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Aug 23, 2006
Last Updated: Nov 22, 2013

Practice Location

Address: 1180 SATELLITE BLVD NW
Address 2: SUITE 100
City: Suwanee
State: Georgia
ZIP Code: 30024-4636
Phone: (404) 367-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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