Individual
JOYANNA HOPE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
502 GI MADDOX PKWY, UNIT E, CHATSWORTH, GA 30705-3222
(706) 695-9699
(706) 695-1623
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 802-1991
(706) 802-1408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT04006
GA
Other
Enumeration date
05/31/2006
Last updated
06/24/2015
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