CHARLES BLAKE

FORT CAMPBELL, KY
NPI1104892637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: TN  420820)
Enumeration Date2006-02-24
Last Update Date2007-07-08
Business Address
Mr. CHARLES BLAKE PT
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DRIVE
FORT CAMPBELL, KY 42223-5349
Phone number: 270-798-8372
Mailing Address
Mr. CHARLES BLAKE PT
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DRIVE
FORT CAMPBELL, KY 42223-5349
Phone number: 270-798-8372