Woody, Blaine
Woody, Blaine is an individual health care provider with primary practice located at 4325 Atlanta Hwy Suite 15, Loganville GA 30052-2341. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Woody, Blaine can be contacted via phone (770) 466-3100.Contact Information
Primary practice address
4325 Atlanta Hwy Suite 15
Loganville GA 30052-2341
Phone: (770) 466-3100
Fax: (770) 466-3105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT003406 | Georgia |
Profile Details
| NPI number | 1922043173 |
|---|---|
| LBN Legal business name | Woody, Blaine |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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