BLAKE BALDWIN

SAINT PETERS, MO
NPI1114310158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2014037263)
Enumeration Date2015-03-16
Last Update Date2015-03-16
Business Address
-- BLAKE BALDWIN PTA
5400 EXECUTIVE CENTRE PKWY
SAINT PETERS, MO 63376-2594
Phone number: 636-447-1098
Mailing Address
-- BLAKE BALDWIN PTA
2544 JACKSON RD
WENTZVILLE, MO 63385-4202
Phone number: 314-568-8381
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