Blaine Woody, PT

NPI #1922043173 in Loganville, Georgia

Provider Information

NPI Number: 1922043173
Entity Type: Individual
Name: Blaine Woody, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4325 ATLANTA HWY
Address 2: SUITE 15
City: Loganville
State: Georgia
ZIP Code: 30052-2341
Phone: (770) 466-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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