CHARLES BLAKE

COLUMBIA, SC
NPI1104892637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: TN  420820)
Enumeration Date2006-02-24
Last Update Date2025-03-18
Business Address
Mr. CHARLES BLAKE PT
MONCRIEF ARMY HEALTH CLINIC 4500 8TH DIVISION DRIVE
COLUMBIA, SC 29207
Phone number: 803-751-7183
Mailing Address
Mr. CHARLES BLAKE PT
MONCRIEF ARMY HEALTH CLINIC 4500 8TH DIVISION DRIVE
COLUMBIA, SC 29207
Phone number: 803-751-7183
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