ADAM BLAKE

FAYETTEVILLE, AR
NPI1275203127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: AR  4965)
Enumeration Date2021-09-13
Last Update Date2021-11-11
Business Address
ADAM BLAKE
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR 72703-4796
Phone number: 479-595-0711
Mailing Address
ADAM BLAKE
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR 72703-4796
Phone number: 479-442-7473
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