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Individual

SAMANTHA HALE BLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2750 CHAPEL HILL RD, STE 1200, DOUGLASVILLE, GA 30135-1721
(678) 981-6290
(678) 981-6291
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003648
GA

Other

Enumeration date
08/28/2016
Last updated
02/14/2018
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