Organization
DYNAMIC SWING PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE A HAMPTON DPT (OWNER)
(404) 271-4245
Entity
Organization
Contact information
Practice address
2031 COBBLESTONE CIR NE, BROOKHAVEN, GA 30319-4909
(404) 271-4245
Mailing address
2031 COBBLESTONE CIR NE, BROOKHAVEN, GA 30319-4909
(404) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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