Organization
BACK IN THE GAME PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA RENEE BLAKE PT (CO-OWNER)
(678) 570-2584
Entity
Organization
Contact information
Practice address
4754 MARTIN RD, SUITE 200, FLOWERY BRANCH, GA 30542-3507
(770) 967-4377
(770) 967-8077
Mailing address
4754 MARTIN RD, SUITE 200, FLOWERY BRANCH, GA 30542-3507
(770) 967-4377
(770) 967-8077
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
11/15/2011
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