BRENDON BLAKE

FLOWERY BRANCH, GA
NPI1508804428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  7433)
Enumeration Date2006-06-03
Last Update Date2011-12-12
Business Address
Mr. BRENDON BLAKE P.T.
4754 MARTIN RD SUITE 200
FLOWERY BRANCH, GA 30542-3507
Phone number: 770-967-4377
Mailing Address
Mr. BRENDON BLAKE P.T.
4754 MARTIN RD SUITE 200
FLOWERY BRANCH, GA 30542-3507
Phone number: 770-967-4377
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