Individual
MARTHA BLINCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1244 CLAIRMONT RD, SUITE 224, DECATUR, GA 30030-1259
(404) 728-9766
(404) 728-9166
Mailing address
1600 FRIAR TUCK RD NE, ATLANTA, GA 30309-2612
(404) 728-9766
(404) 728-9166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001332
GA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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