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1093435786
BLAKE WALLERT
GREENVILLE, SC
NPI
1093435786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 11472)
Enumeration Date
2022-09-01
Last Update Date
2024-08-16
Business Address
BLAKE WALLERT PT, DPT
11 BARKINGHAM LN STE C
GREENVILLE, SC 29607-5905
Phone number: 864-881-1712
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Mailing Address
BLAKE WALLERT PT, DPT
9213 POINTE GRAND PL
SIMPSONVILLE, SC 29680-6997
Phone number: 803-810-7033
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