MR. Brendon Blake, P.T.
NPI #1508804428 in Flowery Branch, Georgia
Provider Information
- NPI Number
- 1508804428
- Entity Type
- Individual
- Name
- MR. Brendon Blake, P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Dec 12, 2011
Practice Location
- Address
- 4754 MARTIN RD
- Address 2
- SUITE 200
- City
- Flowery Branch
- State
- Georgia
- ZIP Code
- 30542-3507
- Phone
- (770) 967-4377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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