BLAKE O. WATERMAN

HAMMONTON, NJ
NPI1245271865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00583400)
Enumeration Date2006-06-08
Last Update Date2007-07-08
Business Address
-- BLAKE O. WATERMAN MPT
640 S WHITE HORSE PIKE
HAMMONTON, NJ 08037-2014
Phone number: 609-704-1980
Mailing Address
-- BLAKE O. WATERMAN MPT
PO BOX 83
HAMMONTON, NJ 08037-0083
Phone number: 609-704-1980
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