BLAINE WOODY

LOGANVILLE, GA
NPI1922043173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT003406)
Enumeration Date2006-06-19
Last Update Date2007-07-08
Business Address
-- BLAINE WOODY PT
4325 ATLANTA HWY SUITE 15
LOGANVILLE, GA 30052-2341
Phone number: 770-466-3100
Mailing Address
-- BLAINE WOODY PT
448 MAPLE COURT RIDGE
LOGANVILLE, GA 30052
Phone number:
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