Organization
BLAYLOCK REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKILAH S. BLAYLOCK DPT (OWNER/PHYSICAL THERAPIST)
(470) 241-4010
Entity
Organization
Contact information
Practice address
7248 PARKLAND BND, FAIRBURN, GA 30213-5435
(470) 241-4010
Mailing address
PO BOX 982, FAIRBURN, GA 30213-0982
(470) 241-4010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009057
GA
Other
Enumeration date
04/07/2018
Last updated
04/07/2018
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