WILLIAM BLAKE MATLOCK

BEND, OR
NPI1013228295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  4366)
Enumeration Date2010-06-23
Last Update Date2016-04-14
Business Address
-- WILLIAM BLAKE MATLOCK MSPT
1693 SW CHANDLER AVE SUITE 140
BEND, OR 97702-3236
Phone number: 541-390-0523
Mailing Address
-- WILLIAM BLAKE MATLOCK MSPT
PO BOX 72
BEND, OR 97709-0072
Phone number: 541-390-0523
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