Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Gina Renee Blake, PT

Individual provider Physical Therapist · NPI 1053596569

Mrs. Gina Renee Blake, PT is a Physical Therapist in Flowery Branch, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4754 Martin Rd Ste 200
Flowery Branch, GA 30542-3507
Phone: (770) 967-4377
Fax: (770) 967-8077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7434 (GA)

Record details

NPI number1053596569
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 3, 2008
Last updated in NPPESDecember 12, 2011

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